ATI RN
ATI Fundamentals Quiz Questions
Extract:
Question 1 of 5
A nurse is caring for an older adult client who states,"I am afraid that I may fall while walking to the bathroom during the night. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Obtain a bedside commode for the client's use: While helpful, this might not address the client's fear of walking in a dark room, and it requires transferring, which could still pose a fall risk. Limit the client's fluid intake in the evening: This can prevent nocturnal trips to the bathroom but doesn't directly address safety if the client needs to get up at night. Put the side rails up and tell the client to call the nurse before voiding: Side rails can sometimes increase fall risk if the client attempts to climb over them. It's more beneficial to ensure a safe environment. Leave a nightlight on in the client's room: This provides adequate lighting, reducing the risk of tripping or falling in the dark, which directly addresses the client's concern about safety while walking to the bathroom.
Question 2 of 5
The adult child of an older adult calls the nurse practitioner to report that the parent is becoming very confused after dark. What is this type of confusion named?
Correct Answer: C
Rationale: Cognitive dysfunction: This is a broad term that includes various types of cognitive impairment. Alzheimer's disease: This is a specific type of dementia, but it doesn't specifically describe the timing of confusion. Sundowning syndrome: This term describes increased confusion and agitation in the late afternoon and evening. It's commonly seen in individuals with dementia. Night-time confusion: This is a general term and doesn't specifically relate to the characteristic pattern of sundowning.
Question 3 of 5
A nurse working in a community health center is preparing a flow sheet detailing essential screenings according to age group. At which developmental stage on the chart should the nurse add scoliosis screening?
Correct Answer: B
Rationale: Older Adult: Scoliosis screening is typically performed during adolescence, not in older adults. Older adults are more likely to be screened for other conditions such as osteoporosis. Pre-adolescent/adolescent: Scoliosis screening is most commonly conducted during preadolescence and adolescence, typically around 10-15 years of age, when growth spurts occur, and the spine is most susceptible to curvature.
Toddler/Preschooler: Scoliosis is rarely screened in toddlers or preschoolers. This age group focuses more on developmental milestones and immunizations. Infant: Scoliosis is not typically screened in infants. Screening for spinal curvature is more relevant during the rapid growth periods of adolescence.
Question 4 of 5
A nurse is caring for a client who has impaired mobility. Which of the following support devices should the nurse plan to use to prevent the client from developing plantar flexion contractures?
Correct Answer: C
Rationale: Sheepskin heel pad: A sheepskin heel pad provides cushioning to prevent pressure ulcers but does not prevent plantar flexion contractures as it does not keep the foot in a neutral position. Abduction pillow: An abduction pillow is used to maintain hip abduction and alignment, typically after hip surgery. It does not address foot positioning or prevent plantar flexion. Footboard: A footboard helps maintain the feet in dorsiflexion, preventing plantar flexion contractures. It keeps the feet at a 90-degree angle to the legs, which is essential for preventing contractures. Trochanter roll: A trochanter roll is used to maintain the alignment of the hips and prevent external rotation of the legs. It does not prevent plantar flexion contractures.
Question 5 of 5
A nurse is conducting an interview with a client. Which example best demonstrates use of open-ended questions in an interview?
Correct Answer: B
Rationale: Do you smoke?' This is a closed-ended question that can be answered with a simple 'yes' or 'no.' It doesn't encourage elaboration or detailed responses. 'How are you feeling?' This is an open-ended question that encourages the client to provide more detailed and descriptive responses about their current state or feelings. It allows the client to share more information and gives the nurse a better understanding of their condition. 'Are you feeling well?' Similar to option A, this is a closed-ended question. It prompts a 'yes' or 'no' answer without inviting further discussion or detailed explanation. 'Do you use any illicit drugs?' This is another closed-ended question that requires a 'yes' or 'no' answer. It does not provide the opportunity for the client to discuss their drug use in detail.