ATI RN
ATI Ns 117 Fundamentals Questions
Extract:
History and Physical
Day 1:
Macular degeneration
Uses a cane to ambulate
Nurses' Notes
Day 3:
Client is discharged to home. Home hazard data is collected by a home health nurse. Home hazard data report:
Unsecured throw rugs over tile floor in kitchen Grab bar present in bathroom
Hot water heater set at 43.3° C (110° F) Nonskid mat in bathtub
Electrical cord on floor over walkway
Question 1 of 5
A nurse is assisting with the care of a client. Exhibits A nurse in a provider's office is assisting with the review of fall risk data collected on a client. Which of the following findings places the client at risk for a fall? Select all that apply.
Correct Answer: B,C,E
Rationale: Throw rugs, electrical cords, and macular degeneration increase fall risk, unlike canes (reduce risk) or grab bars (prevent falls).
Extract:
Question 2 of 5
A nurse is caring for a client who reports frequent headaches. Which of the following statements by the nurse uses holistic nursing?
Correct Answer: A
Rationale: Asking about stress considers emotional factors, aligning with holistic nursing, unlike nausea, blood pressure, or medication focus.
Question 3 of 5
What is the correct way to use a cane while walking?
Correct Answer: D
Rationale: Holding the cane on the opposite side of the affected leg maximizes stability, unlike same-side, behind, or middle positions, which reduce support.
Question 4 of 5
A nurse is caring for a client who is postoperative. The nurse should recognize that which of the following methods is the most reliable source when determining the intensity of the client's pain?
Correct Answer: D
Rationale: Client self-report is the most reliable pain intensity indicator, as vital signs, procedure invasiveness, or nonverbal cues may not accurately reflect pain.
Question 5 of 5
What is the purpose of evidence-based practice (EBP) in nursing?
Correct Answer: D
Rationale: EBP integrates research, expertise, and patient preferences to improve outcomes, unlike rigid protocols, time-saving, or tradition-based care.