ATI RN
ATI RN Fundamentals Online Practice 2023 B Questions
Extract:
Question 1 of 5
A nurse is caring for a client who asks about the purpose of advance directives. Which of the following statements should the nurse make?
Correct Answer: B
Rationale: The correct answer is B: Advance directives indicate the form of treatment a client is willing to accept in the event of a serious illness. This is accurate as advance directives are legal documents that allow individuals to communicate their wishes regarding medical treatment in advance, ensuring their preferences are known and followed in case they are unable to communicate.
Choice A is incorrect as advance directives do not allow the court to overrule a client's refusal of medical treatment.
Choice C is incorrect as advance directives do not permit withholding medical information.
Choice D is incorrect as advance directives do not dictate what health care personnel can do in an emergency.
Question 2 of 5
A nurse is assessing a patient’s ability to use a walking cane.Which of the following observations would indicate that the patient is using the cane correctly?
Correct Answer: C
Rationale: The correct answer is C because the patient should hold the cane on the side of their body that is stronger. This helps to provide the necessary support and stability while walking. Holding the cane on the stronger side allows the patient to shift weight and balance effectively.
Choice A is incorrect because the top of the cane should be at the level of the greater trochanter, not the waist.
Choice B is incorrect because the distance the cane is advanced is not a determining factor for correct cane use.
Choice D is incorrect because the patient should move the weaker leg forward with the cane to provide support and stability.
Question 3 of 5
A nurse is caring for a patient who has herpes zoster and is inquiring about the use of complementary and alternative therapies.Which of the following actions should the nurse take to reduce the patient’s risk of developing plantar flexion contractures?
Correct Answer: D
Rationale: The correct answer is D: Apply an ankle-foot orthotic device to the patient's feet. This option is the most appropriate because an ankle-foot orthotic device helps maintain proper alignment of the foot and ankle, preventing plantar flexion contractures. Placing a pillow under the patient's knees (option
A) may provide comfort but does not address the contracture risk. Positioning trochanter rolls under the hips (option
B) is used for hip alignment, not foot contractures. Advising the patient to wear rubber-soled slippers (option
C) is focused on preventing falls, not contractures. Applying an ankle-foot orthotic device directly addresses the risk of plantar flexion contractures by providing support and maintaining proper alignment of the feet.
Extract:
A nurse responds to a call light and finds a patient lying on the bathroom floor.
Question 4 of 5
What should the nurse do first?
Correct Answer: A
Rationale: The nurse should first check the patient for injuries (
Choice
A) because assessing the patient's immediate physical condition is crucial for prioritizing care. This step ensures timely intervention to address any potential life-threatening injuries. Moving hazardous objects (
Choice
B) can wait until the patient's safety is confirmed. Notifying the provider (
Choice
C) can be done after assessing the patient's condition. Asking the patient to describe their feelings prior to the fall (
Choice
D) is important but not as urgent as checking for injuries.
Extract:
A nurse is preparing to transfer a patient who can bear weight on one leg from the bed to a chair.
Question 5 of 5
After securing a safe environment, what should the nurse do next?
Correct Answer: C
Rationale: The correct answer is C: Assess the patient for orthostatic hypotension. This is important to prevent falls and other complications when transitioning the patient to a standing position. Orthostatic hypotension can cause dizziness and fainting upon standing, so assessing for this condition helps the nurse determine the patient's readiness to stand safely. Rocking the patient up to a standing position (
A) can increase the risk of falls. Pivoting on the foot farthest from the chair (
B) is a technique used during the transfer process but is not the immediate next step after securing a safe environment. Applying a gait belt (
D) is important for assisting with ambulation but should come after ensuring the patient can safely stand.