ATI RN
ATI Fundamentals Quiz Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has impaired mobility. Which of the following support devices should the nurse plan to use to prevent the client from developing plantar flexion contractures?
Correct Answer: C
Rationale: Sheepskin heel pad: A sheepskin heel pad provides cushioning to prevent pressure ulcers but does not prevent plantar flexion contractures as it does not keep the foot in a neutral position. Abduction pillow: An abduction pillow is used to maintain hip abduction and alignment, typically after hip surgery. It does not address foot positioning or prevent plantar flexion. Footboard: A footboard helps maintain the feet in dorsiflexion, preventing plantar flexion contractures. It keeps the feet at a 90-degree angle to the legs, which is essential for preventing contractures. Trochanter roll: A trochanter roll is used to maintain the alignment of the hips and prevent external rotation of the legs. It does not prevent plantar flexion contractures.
Question 2 of 5
The nurse is conducting an assessment of a client that has been admitted to a medical unit in the hospital for treatment of pneumonia. Which action will the nurse take when conducting the respiratory assessment of this client?
Correct Answer: B
Rationale: Document 'impaired oxygenation' on the nursing care plan: While this may be appropriate based on assessment findings, it's premature to document without conducting a thorough assessment first. Auscultate the chest for breath sounds: This is a critical component of assessing respiratory function, especially in a client with pneumonia, to identify abnormal breath sounds such as crackles or diminished breath sounds. Collaborate with the client to form goals: Goal setting typically comes after assessment data is collected and analyzed. Apply supplemental oxygen by face mask as needed: This action should be based on assessment findings indicating the need for oxygen therapy, not assumed without assessment.
Question 3 of 5
You're assessing a 4-month-old infant. Which finding below is a normal milestone that should be reached by this infant at this age?
Correct Answer: B
Rationale: Pincer grasp: The pincer grasp, which involves using the thumb and forefinger to pick up small objects, typically develops around 8 to 12 months of age, not at 4 months. Rolls from tummy to back: At 4 months, many infants start to develop the ability to roll from their tummy to their back. This is a typical milestone for this age and reflects developing motor skills. Walks with support: Walking with support usually begins around 9 to 12 months of age, much later than 4 months. Rolls from back to tummy: Rolling from back to tummy typically occurs a bit later, often around 5 to 6 months. At 4 months, rolling from tummy to back is the more expected milestone.
Question 4 of 5
A nurse is assessing a 12-month-old infant who is brought to the clinic by the parents for a well-child visit. The nurse reviews the infant's health history and notes that the infant weighed $8 \mathrm{lb}$ at birth. When assessing the infant's weight at this visit,the nurse would anticipate that the infant would weigh approximately how much at this time?
Correct Answer: C
Rationale: 20 lbs: This is a plausible estimate. By 12 months, an infant's birth weight typically triples.
Therefore, an $8 \mathrm{lb}$ birth weight would approximately translate to $24 \mathrm{lbs}$ at 12 months. 32 lbs: This estimate is too high. If an infant's birth weight triples by 12 months, an $8 \mathrm{lb}$ birth weight would not be expected to reach 32 lbs. 24 lbs: An infant's weight usually triples by their first birthday.
Therefore, an infant born weighing $8 \mathrm{lbs}$ would be expected to weigh about $24 \mathrm{lbs}$ at 12 months. 16 lbs: This is an underestimate. An $8 \mathrm{lb}$ infant would double their birth weight by about 4 to 6 months, and by 12 months, they would typically have tripled their birth weight to around $24 \mathrm{lbs}$.
Question 5 of 5
The nurse is assessing a client who reports abdominal pain. Which assessment technique will the nurse perform first?
Correct Answer: A
Rationale: Inspection: Inspection is always the first step in any physical examination, including abdominal assessments. It allows the nurse to visually assess the abdomen for distension, asymmetry, discoloration, or other abnormalities. Percussion: Percussion is performed after inspection and auscultation. It helps assess the density of abdominal contents but should not be the first step. Palpation: Palpation is performed last in an abdominal exam to avoid altering bowel sounds and causing discomfort. It should be done after inspection, auscultation, and percussion. Auscultation: Auscultation is typically the second step after inspection to listen for bowel sounds before palpation and percussion, which might alter them.