ATI RN
ATI RN VATI Fundamentals S 2019 Final Questions
Extract:
Question 1 of 5
A nurse is assisting a coworker with moving a client up in bed using a draw sheet. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Shifting weight from back to front leg with feet apart ensures proper body mechanics reducing injury risk. Arm positioning head elevation and bending at the waist are less critical or incorrect for safe client movement.
Question 2 of 5
A nurse is assessing a client's coping skills. Which of the following should the nurse identify as an internal stressor?
Correct Answer: C
Rationale: Fear of medical test results is an internal stressor originating within the individual as a psychological or emotional response causing anxiety. Peer pressure death of a family member and job transfer are external stressors as they arise from external events or influences rather than internal psychological factors.
Question 3 of 5
A nurse is planning to assist a client who has left-sided weakness to ambulate using a gait belt. Which of the following actions should the nurse plan to take?
Correct Answer: C
Rationale: Sitting for 60 seconds prevents orthostatic hypotension ensuring safe ambulation. Walking on the right side is incorrect (should be left) looking down risks falls and the gait belt goes around the waist not chest.
Question 4 of 5
A nurse is planning care for a client who has a fever due to an infection. Which of the following interventions should the nurse include in the plan of care?
Correct Answer: A
Rationale: Encouraging fluid intake helps prevent dehydration which is a common concern when a client has a fever. Adequate hydration supports the body's ability to regulate temperature and maintain overall health. Maintaining the environmental temperature at 16°C to 18°C is too cold and can cause discomfort or shivering which may increase the client's metabolic rate and worsen the fever. Immersing the client in cold water is not recommended as it can cause shock and is not an effective or safe method for reducing fever. Assisting the client to ambulate is not a priority intervention for managing fever; the focus should be on hydration and comfort.
Question 5 of 5
A nurse is observing a newly licensed nurse provide client care. Which of the following actions by the newly licensed nurse requires intervention by the nurse?
Correct Answer: D
Rationale: Using scissors to remove tape securing a peripheral IV catheter is unsafe risking injury to the client’s skin or catheter. This requires intervention. Enema tube insertion at 8 cm elevating the head post-mortem and using a clean washcloth for catheter care are appropriate and do not require intervention.