ATI RN
ATI RN Fundamentals 2023 I Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is immobile. Which of the following interventions should the nurse plan to take to prevent plantar flexion contractures?
Correct Answer: B
Rationale: Foot splints maintain dorsiflexion, preventing plantar flexion contractures. Trochanter rolls align hips, abduction pillows prevent adduction, and propping up risks contractures without support.
Question 2 of 5
A nurse is assessing a client who has risk factors for developing heart disease. Which of the following factors does the nurse recognize as a modifiable risk factor?
Correct Answer: D
Rationale: Physical inactivity is modifiable through lifestyle changes, reducing heart disease risk by improving cardiovascular health. Parental hypertension is genetic, cultural beliefs and air quality are less directly controllable.
Question 3 of 5
A home health nurse is teaching a client about home safety. Which of the following statements by the client indicates an understanding of the teaching? (Select all that apply.)
Correct Answer: A,B,E
Rationale: A: Grab bars prevent falls. B: Fire plans ensure safety. E: Checking expiration dates ensures medication efficacy. C: 140°F risks scalding (120-130°F is safer). D: Taping cords is unsafe—replace them.
Question 4 of 5
A nurse is providing teaching to a client about reducing the adverse effects of immobility. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: B
Rationale: Hourly ankle and knee exercises prevent muscle atrophy, contractures, and thromboembolism by promoting circulation and mobility. Removing stockings reduces DVT protection, holding breath risks hypotension, and 4-hour repositioning is too infrequent—every 2 hours is standard.
Question 5 of 5
A nurse is caring for a client who has a colostomy. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: A pouch 1/8 inch larger than the stoma prevents irritation and ensures a secure fit. Damp skin barriers reduce adhesion, daily changes may irritate skin, and rubbing can damage peristomal skin—patting dry is preferred.