ATI RN
ATI Ns 117 Fundamentals Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has dementia. Which of the following actions should the nurse take to reduce the client's risk of aspiration pneumonia?
Correct Answer: A
Rationale: Elevating the bed to 45° prevents aspiration, unlike head tilting, oral hygiene, or TV distractions, which increase risks.
Question 2 of 5
A nurse is talking with a client who reports acute lower back pain after moving heavy boxes. Which of the following information should the nurse reinforce?
Correct Answer: C
Rationale: Ice packs reduce inflammation in acute back pain, unlike torso twisting, prolonged bed rest, or early weight exercises, which worsen injury.
Question 3 of 5
What is the purpose of instructing the client to move the walker forward 6 to 8 inches, setting it down with all four feet on the floor when ambulating?
Correct Answer: C
Rationale: Moving the walker forward supports the weaker leg, unlike avoiding strong leg pressure, hand positioning, or gravity focus.
Question 4 of 5
A nurse is completing a SOAP note in a client's chart. In which of the following sections should the client's vital signs be documented?
Correct Answer: A
Rationale: Vital signs are objective, measurable data, unlike subjective reports, plans, or assessments.
Question 5 of 5
What is an important strategy for fall prevention in older adults?
Correct Answer: A
Rationale: Regular exercise improves strength and balance, reducing fall risk, unlike removing all rugs, drowsy medications, or limiting social activities.