ATI RN
ATI Nur 231 Fundamentals Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a group of clients. The nurse demonstrates adherence to the ethical principle of fidelity by doing which of the following?
Correct Answer: D
Rationale: Keeping an appointment with a client: This action demonstrates fidelity, which involves the nurse's commitment to honoring promises and maintaining trust in the nurse-client relationship. By keeping appointments, the nurse shows reliability and respect for the client's time and needs, which is fundamental to ethical nursing practice.
Question 2 of 5
When instructing a client on the proper use of a cane, which step is essential to ensure stability and safety?
Correct Answer: D
Rationale: Hold the cane on the side opposite the injured or weaker leg: This is the essential step for ensuring stability and safety when using a cane. By holding the cane on the opposite side, the client can use the cane for support while stepping forward with the weaker leg, enhancing balance and reducing the risk of falls.
Question 3 of 5
A nurse is caring for a client who has active pulmonary tuberculosis (TB). The client requires airborne precautions and is receiving multidrug therapy. Which of the following precautions should the nurse take to transport the client safely to the radiology department for a chest x-ray?
Correct Answer: A
Rationale: Have the client wear a mask: When transporting a client with active pulmonary tuberculosis, having the client wear a surgical mask helps to contain respiratory droplets and reduce the risk of airborne transmission to others in the facility. This is an important measure to help prevent the spread of TB while the client is being moved through the hospital.
Question 4 of 5
Which form of communication is the nurse using when interviewing the patient during the admission health history and physical assessment?
Correct Answer: A
Rationale: Interpersonal: The nurse is engaging in interpersonal communication during the admission health history and physical assessment. This form of communication occurs between two individuals and involves a direct exchange of information.
Question 5 of 5
A nurse is assessing a client who is experiencing complications due to immobility. Which of the following findings should the nurse expect? (Select all that apply)
Correct Answer: B,D,E
Rationale: Contractures of the extremities: Contractures are a common complication of immobility. When a joint is not moved regularly, the muscles and tissues can shorten, leading to stiffness and loss of mobility in the affected area. Pressure ulcers: Pressure ulcers, also known as bedsores, are a significant risk for individuals with limited mobility. They develop due to prolonged pressure on the skin, particularly over bony prominences, leading to skin breakdown and tissue damage. Crackles in the lungs: Crackles can be heard during auscultation in patients who are immobile. They may develop due to fluid accumulation in the lungs, atelectasis, or pneumonia, which are all more likely to occur in individuals with limited mobility.