ATI RN
ATI Fundamentals Exam 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: B
Rationale: The correct answer is B: Leave a nightlight on in the client's room. This action addresses the client's fear of falling by providing adequate lighting to navigate safely to the bathroom during the night. It promotes client safety and reduces the risk of falls without restricting the client's independence.
Incorrect choices:
A: Obtaining a bedside commode may address the client's fear of falling, but it does not actively address the specific safety concern of walking to the bathroom at night.
C: Limiting fluid intake may reduce the frequency of nighttime bathroom trips, but it does not address the client's fear of falling during those trips.
D: Putting up side rails and telling the client to call before voiding may provide some support, but it does not directly address the client's fear or promote autonomy and independence.
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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