ATI RN
ATI Nurs100102 Fundamentals Retake Questions
Extract:
Question 1 of 5
A nurse is developing the plan of care for a client who does not speak the same language as the nurse. Which of the following interventions should the nurse include?
Correct Answer: C
Rationale: Assessing fluency ensures effective communication, unlike speaking to the interpreter, relying on nods, or using family interpreters.
Question 2 of 5
A nurse is caring for an older adult client who was alert and oriented at admission, but now seems increasingly restless and intermittently confused. Which of the following actions should the nurse take to address the client's safety needs?
Correct Answer: B
Rationale: Closer monitoring near the nurses' station enhances safety, unlike restraints, sedation, or family reliance.
Question 3 of 5
A nurse is caring for an older adult client. The nurse should recognize the client is at risk for which of the following physiological changes? (Select all that apply.)
Correct Answer: B,C,D
Rationale: Older adults experience higher pain thresholds, reduced skin elasticity, and slower gastric motility, not increased cardiac output or metabolism.
Question 4 of 5
A nurse at an extended-care facility is instructing a class of assistive personnel (AP) about client use of assistive devices during ambulation. Which of the following instructions should the nurse give the APs about the clients use of a cane?
Correct Answer: C
Rationale: Moving the cane first provides stability, unlike weak-side hold, waist-level grip, or strong-leg-first movement.
Question 5 of 5
A nurse is caring for an older adult client who is at risk for skin breakdown. Which of the following interventions should the nurse use to help maintain the integrity of the client's skin?
Correct Answer: D
Rationale: A high-protein diet supports tissue repair, unlike cornstarch (fungal risk), 3-hour repositioning (insufficient), or massaging prominences (tissue trauma).