ATI RN
ATI Fundamentals 2023 Retake Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has left lower-lobe atelectasis. In which of the following positions should the nurse place the client for postural drainage?
Correct Answer: D
Rationale: The correct answer is D: Right lateral in Trendelenburg position. This position allows gravity to assist in draining secretions from the left lower lobe of the lung. Trendelenburg position promotes drainage by utilizing gravity to help move secretions towards the larger airways for removal. Side-lying with the right side elevated (
Choice
A) does not provide optimal drainage for the left lower lobe. Supine in low-Fowler's position (
Choice
B) and prone with pillows under the lower extremities (
Choice
C) do not specifically target the left lower lobe for drainage. Right lateral in Trendelenburg position (
Choice
D) is the most effective position for postural drainage in this scenario.
Question 2 of 5
A nurse is teaching a client who has decreased mobility about passive range-of-motion exercises. Which of the following statements should the nurse make?
Correct Answer: C
Rationale: The correct answer is C: "I will repeat these movements 3 to 5 times." This statement is appropriate because it emphasizes the importance of repetition in passive range-of-motion exercises to prevent contractures and maintain joint flexibility. Moving joints quickly (
A) can cause injury. Performing movements once a day (
B) may not be sufficient for maintaining joint mobility. Moving joints to the point of mild pain (
D) can be harmful. The other choices are not relevant to the safe and effective performance of passive range-of-motion exercises.
Question 3 of 5
A nurse is obtaining a health history from a client. The nurse should recognize which of the following data as placing the client at higher risk for osteoporosis?
Correct Answer: A
Rationale: The correct answer is A: The client has a sedentary lifestyle. Sedentary lifestyle, characterized by lack of physical activity, is a significant risk factor for osteoporosis due to decreased bone density. Weight-bearing exercises, like yoga in choice B, actually help strengthen bones and reduce the risk of osteoporosis. Vitamin A deficiency in choice C may affect bone health, but it's not as directly linked to osteoporosis as lack of physical activity. Moderate alcohol consumption as in choice D does not have a significant impact on osteoporosis risk compared to sedentary lifestyle.
Question 4 of 5
A nurse is teaching a client who can only bear weight on one leg how to ambulate using crutches. Which of the following crutch gaits should the nurse plan to instruct the client to use?
Correct Answer: A
Rationale: The correct answer is A: Three-point gait. This gait is appropriate for a client who can only bear weight on one leg as it involves bearing weight on one leg while advancing both crutches forward, then advancing the unaffected leg forward. This gait provides maximum stability and support for the client.
B: Two-point alternating gait involves bearing weight on both legs alternately, which may not be suitable for a client who can only bear weight on one leg.
C: Four-point alternating gait involves bearing weight on both legs and crutches in a coordinated manner, which may be too complex for a client with limited weight-bearing ability.
D: Swing-through gait involves swinging both legs forward simultaneously, which is not suitable for a client who can only bear weight on one leg.
Therefore, the three-point gait is the most appropriate choice for this client.
Question 5 of 5
A nurse is collaborating with a risk management team about potential legal issues involving client care. The nurse should identify that which of the following situations is an example of negligence?
Correct Answer: C
Rationale: The correct answer is C: A nurse administers a medication without first identifying the client. This is a clear example of negligence because proper identification of the client is crucial in ensuring the right medication is given to the right person. Failing to verify the client's identity before administering medication can lead to serious consequences such as medication errors, allergic reactions, or adverse drug interactions. This breach in standard of care can result in harm to the client and legal ramifications for the nurse.
Other choices:
A: Starting a blood transfusion without consent is a violation of the client's rights, but it does not directly demonstrate negligence in providing care.
B: Discussing client care in a public area may breach confidentiality, but it does not directly involve negligence in client care.
D: Preventing a client from leaving the facility may be necessary for safety reasons and does not inherently constitute negligence in client care.