ATI RN
ATI RN Fundamentals 2019 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has restraints to each extremity. Which of the following assessments should the nurse perform first?
Correct Answer: C
Rationale: The correct assessment to perform first is C: Peripheral pulses. This is crucial to ensure adequate circulation and prevent complications such as ischemia and nerve damage. Monitoring peripheral pulses helps assess the effectiveness of the restraints and detect any circulation problems promptly. Comfort level (
A) can be assessed after ensuring adequate circulation. Skin integrity (
B) is important but can wait as compromised circulation poses a more immediate threat. Elimination needs (
D) are important but not as urgent as assessing circulation.
Question 2 of 5
Correct Answer:
Rationale:
Question 3 of 5
Correct Answer:
Rationale:
Question 4 of 5
Correct Answer:
Rationale:
Question 5 of 5
Correct Answer:
Rationale: