ATI RN
ATI Fundamental Proctored Exam 2024-2025 Online Practice 250 Simulated Exam Questions Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has right-sided paralysis from a cerebral vascular accident (CVA). Which of the following interventions should the nurse implement?
Correct Answer: C
Rationale: The correct answer is C: Use a footboard to maintain dorsiflexion of the feet. This is important for preventing foot drop, a common issue with right-sided paralysis post-CVA. By maintaining dorsiflexion, the nurse helps prevent contractures and promotes proper alignment of the feet. A soft mattress (
A) does not address the specific issue of foot drop. Positioning soft pillows against the bottom of the feet (
B) may not provide adequate support and dorsiflexion. Crossing the client's legs at the ankles (
D) is contraindicated as it can lead to pressure ulcers and further complications.
Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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