ATI RN
ATI Custom MS Nurse Questions
Extract:
Older adult at risk for falls
Question 1 of 5
A nurse is assisting with the development of a plan of care for an older adult who is at risk for falls. Which of the following actions should the nurse contribute to the plan?
Correct Answer: C,D,E
Rationale: Keeping a night light on in the client's room and bathroom can help reduce the risk of falls by improving visibility. Placing the bedside table within the client's reach can help reduce the risk of falls by making it easier for the client to access necessary items. Locking the wheels on beds and wheelchairs during transfers can help reduce the risk of falls by providing stability.
Question 2 of 5
A nurse is assisting with the development of a plan of care for an older adult who is at risk for falls. Which of the following actions should the nurse contribute to the plan?
Correct Answer: C,D,E
Rationale: Keeping a night light on in the client's room and bathroom can help reduce the risk of falls by improving visibility. Placing the bedside table within the client's reach can help reduce the risk of falls by making it easier for the client to access necessary items. Locking the wheels on beds and wheelchairs during transfers can help reduce the risk of falls by providing stability.
Extract:
Client with increased intracranial pressure demonstrating decorticate posturing
Question 3 of 5
A nurse is collecting data from a client who has increased intracranial pressure and is informed by the charge nurse that the client demonstrates decorticate posturing. Which of the following findings should the nurse expect to observe?
Correct Answer: D
Rationale: In decorticate posturing, the lower extremities typically exhibit plantar flexion. Additionally, the upper extremities show flexion of the arms, wrists, and fingers with adduction of the arms.
Extract:
Woman collapsed with right-sided weakness and slurred speech
Question 4 of 5
A nurse is shopping and finds a woman who has collapsed with right-sided weakness and slurred speech. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The nurse should call emergency medical services if they find a woman who has collapsed with right-sided weakness and slurred speech. These symptoms could indicate a stroke or other serious medical condition that requires immediate medical attention.
Extract:
Client with an exacerbation of gout
Question 5 of 5
A nurse is collecting data from a client who has an exacerbation of gout. Which of the following findings should the nurse expect?
Correct Answer: B,C,E
Rationale: A nurse collecting data from a client who has an exacerbation of gout should expect to find edema, tophi, and erythema. Gout is a type of arthritis that occurs when urate crystals accumulate in the joints, causing inflammation and intense pain.