ATI RN
ATI Nurs 105 Fundamentals Final Exam Questions
Extract:
Question 1 of 5
A nurse is assisting a client during ambulation when the client begins to fall. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Lowering the client safely controls the fall, unlike narrow stance, wall leaning, or arm support, which risk injury.
Question 2 of 5
A nurse is teaching a client about crutch walking using the three-point gait. Which of the following statements by the nurse should be included in the teaching?
Correct Answer: D
Rationale: Three-point gait involves moving crutches and affected leg, then unaffected leg, unlike four-point, looking down, or underarm weight.
Question 3 of 5
A nurse is caring for a client who has emphysema and has difficulty with mobility. The client receives home health care and spends most of his day in a reclining chair. Which of the following physiological responses to prolonged immobility should the nurse expect?
Correct Answer: B
Rationale: Immobility increases bone resorption, leading to calcium excretion, unlike RBC production, insulin, or sodium changes.
Question 4 of 5
A nurse is caring for a client who requires cold applications with an ice bag to reduce the swelling and pain of an ankle injury. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: 30-minute applications reduce swelling safely, unlike early reapplication, air in bag, or direct skin contact.
Question 5 of 5
A nurse is caring for a client who has not voided for 8 hours following the removal of an indwelling urinary catheter. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Bladder scan assesses retention non-invasively, unlike immediate catheterization, bathroom assistance, or fluids.