ATI RN
ATI Fundamentals Exam Nursing 100 Exam 3 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: C
Rationale: Lowering the client to the floor reduces fall distance and injury risk. Leaning toward the wall narrow stance or arm support are insufficient to prevent injury during a fall.
Question 2 of 5
A client 80 years of age experienced dysphagia (impaired swallowing) in the weeks following a recent stroke,but the care team wishes to now begin introducing minced and pureed food. How should the nurse best position the client?
Correct Answer: B
Rationale: Semi-Fowlers positioning with the head of the bed elevated at a 30 to 45 degree angle is recommended for clients with dysphagia to prevent aspiration and promote effective swallowing. Supine increases aspiration risk and Low-Fowlers or Fowlers are less optimal for swallowing safety.
Question 3 of 5
A nurse working in long-term care facility is assessing residents at risk for the development of a pressure injury. Which resident would be most at risk?
Correct Answer: A
Rationale: The client who is 92 years old uses a walker is incontinent and has an extensive cardiac history is at higher risk for the development of pressure injuries due to age immobility and additional risk factors like incontinence and poor circulation from cardiac issues. Paraplegia and coma increase risk but the combination of factors in choice A is more severe. The client with a cane and dementia has fewer risk factors.
Question 4 of 5
A nurse is assessing a client who is experiencing complications due to immobility. Which of the following findings should the nurse expect? (Select All that Apply.)
Correct Answer: A,D,E
Rationale: Contractures atelectasis and pressure ulcers are complications of immobility due to muscle shortening reduced lung expansion and prolonged pressure. Diarrhea and polyuria are not typically related.
Question 5 of 5
A nurse is teaching a client about the nutritional requirements necessary to promote wound healing. Which of the following nutrients should the nurse include in the teaching?
Correct Answer: C
Rationale: Protein is crucial for wound healing providing building blocks for tissue repair. Calcium and vitamin D support bones and vitamin B1 aids metabolism but they are not primary for wounds.