ATI RN
ATI RN VATI Fundamentals S 2019 Final Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has Alzheimer's disease and appears anxious. The client asks the nurse to stay at their bedside. Which of the following responses should the nurse make to reduce the client's anxiety?
Correct Answer: B
Rationale: Discussing past memories redirects the client’s focus from anxiety providing comfort. Inquiring about family delaying the conversation or asking why they’re anxious may escalate anxiety or dismiss the client’s immediate needs.
Question 2 of 5
A nurse is caring for a client who has coronary artery disease and has a BMI of 30. Which of the following strategies should the nurse implement first to develop teaching that promotes lifestyle changes?
Correct Answer: C
Rationale: Establishing mutual learning goals fosters partnership and aligns teaching with client needs increasing lifestyle change success. Assessing knowledge identifying resources and scheduling sessions follow goal-setting.
Question 3 of 5
A nurse is caring for a client who is at risk for pressure injury formation due to immobility. The nurse should place the client in which of the following positions to reduce pressure on the client's bony prominences?
Correct Answer: A
Rationale: The 30° lateral position distributes weight evenly reducing pressure on bony prominences. Semi-prone supine and Fowler’s positions increase pressure on areas like the sacrum and heels heightening pressure injury risk.
Question 4 of 5
A nurse is performing a focused assessment of a client's sensory functions. Which of the following tests should the nurse perform?
Correct Answer: C
Rationale: The finger-to-nose test assesses coordination and proprioception directly evaluating sensory functions by testing limb position sense. The walking gait test assesses balance the plantar reflex test evaluates neurological integrity and the Romberg test focuses on balance and proprioception not coordination.
Question 5 of 5
A nurse is caring for a client who has Alzheimer's disease and appears anxious. The client asks the nurse to stay at their bedside. Which of the following responses should the nurse make to reduce the client's anxiety?
Correct Answer: B
Rationale: Discussing past memories redirects the client’s focus from anxiety providing comfort. Inquiring about family delaying the conversation or asking why they’re anxious may escalate anxiety or dismiss the client’s immediate needs.