ATI RN
ATI RN Fundamentals 2019 with NGN Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is restrained to each extremity. Which of the following assessments should the nurse perform first?
Correct Answer: D
Rationale: Assessing peripheral pulses first ensures that restraints are not compromising circulation, which could lead to tissue damage. Elimination, comfort, skin integrity, and respiratory status are important but secondary to circulation.
Question 2 of 5
A nurse is caring for a client who has tuberculosis. Which of the following precautions should the nurse plan to implement when working with the client?
Correct Answer: D
Rationale: Tuberculosis is spread via airborne droplet nuclei, requiring airborne precautions (e.g., N95 mask, negative-pressure room). Contact, protective, droplet, and standard precautions alone are inappropriate for TB.
Question 3 of 5
A nurse is caring for a client who had a stroke and requires assistance with morning ADLs. Which of the following interprofessional team members should the nurse consult?
Correct Answer: B
Rationale: An occupational therapist specializes in assisting with ADLs, helping the stroke client regain independence in daily tasks. Physical therapists focus on mobility, speech-language pathologists address communication/swallowing, dieticians manage nutrition, and social workers handle psychosocial needs.
Question 4 of 5
A community health nurse is teaching a group of clients about Kegel exercises to prevent urinary incontinence. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Contracting the pelvic floor muscles is the core of Kegel exercises, strengthening muscles to prevent incontinence. Holding breath, tightening buttocks, or expecting quick results are incorrect. Kegels can be performed in any position, not only lying flat.
Question 5 of 5
A nurse is providing teaching to a client who is at risk for thrombus formation. Which of the following statements made by the client indicates an understanding of the teaching?
Correct Answer: C
Rationale: Limiting time spent sitting reduces stasis and promotes circulation, lowering thrombus risk. Crossing legs impedes blood flow, leg exercises should be more frequent, and massaging painful legs risks dislodging a clot. Tight socks may restrict circulation, increasing thrombus risk.