ATI RN
ATI RN Fundamentals Exam 6 Questions
Extract:
Question 1 of 5
A nurse is evaluating a client's use of crutches. Which of the following observations indicates safe use of this equipment?
Correct Answer: D
Rationale: Placing one crutch on each side when assuming a sitting position is not the correct technique. The client should use both crutches on one side to provide support when sitting or rising. Placing weight on the axillae when walking can cause nerve damage and is an incorrect crutch-walking technique. The client should bear weight on the hands and arms not the axillae. Moving the unaffected leg onto a step first when descending stairs is a correct and safe technique for using crutches on stairs. Having slightly flexed elbows when ambulating with crutches is a proper technique for maintaining balance and support while walking.
Question 2 of 5
A nurse is teaching an assistive personnel (AP) how to obtain a capillary finger stick blood sample. Which of the following actions by the AP requires the nurse to intervene?
Correct Answer: D
Rationale: Wrapping the finger in a warm cloth helps improve blood flow and can facilitate the blood sample collection. Rubbing the fingertip with an alcohol pad cleans the site before the puncture. Puncturing the side of the fingertip is not the recommended site for a capillary finger stick. The recommended site is the center of the fleshy pad of the fingertip. Elevating the finger above heart level can assist in increasing blood flow to the fingertip.
Question 3 of 5
A nurse is providing teaching to a client who uses tobacco products. (Move the steps that the nurse should take into the box on the right placing them in the correct order of performance. All steps must be used.)
Correct Answer: D,A,B,C
Rationale: Correct order: D A B C. D. Ask about the type of tobacco product used. A. Teach the client cessation strategies. B. Develop a cessation plan with the client. C. Assist the client in modifying the plan if necessary.
Question 4 of 5
A nurse is caring for a client who is 1 day postoperative following abdominal surgery. Which of the following client statements indicates a need for further instruction?
Correct Answer: C
Rationale: Getting up and walking with the physical therapy aide promotes early mobility and is a positive statement. Doing leg exercises every hour while awake helps prevent complications such as deep vein thrombosis (DVT). Leaving antiembolic stockings on during sleep helps prevent DVT so the client's statement is incorrect. Using a footstool while sitting in a chair promotes proper positioning and comfort.
Question 5 of 5
A nurse is caring for a client who reports that she has insomnia. Which of the following interventions is appropriate for the nurse to recommend?
Correct Answer: A
Rationale: Eating a light carbohydrate snack before bedtime can promote sleep by providing a small increase in insulin which facilitates the entry of tryptophan into the brain promoting the production of serotonin and melatonin. Taking a 30-minute daily nap especially close to bedtime may interfere with nighttime sleep. Exercising 1 hour before bedtime can be stimulating and may disrupt sleep patterns. Drinking a cup of hot cocoa before bedtime may not be recommended as it contains caffeine which can interfere with sleep.