ATI RN
ATI RN Fundamentals 2023 II Questions
Extract:
Question 1 of 5
A nurse is obtaining a health history from a client. Which of the following factors places the client at risk for cardiovascular disease?
Correct Answer: B
Rationale: The correct answer is B: Metabolic syndrome. Metabolic syndrome includes risk factors such as high blood pressure, high blood sugar, excess body fat around the waist, and abnormal cholesterol levels, all of which increase the risk of cardiovascular disease. Competitive sports (
A) generally reduce the risk of heart disease by promoting physical fitness. Family history of alcohol use disorder (
C) is not directly linked to cardiovascular disease risk. Hypotension (
D) is low blood pressure and is not a risk factor for cardiovascular disease.
Question 2 of 5
A nurse is conducting the Weber's test on a client. Which of the following is an appropriate action for the nurse to take?
Correct Answer: C
Rationale: The correct answer is C: Place an activated tuning fork in the middle of the client's forehead. This is the appropriate action for the Weber's test because it helps assess for asymmetrical hearing loss. Placing the tuning fork on the forehead allows sound to be conducted through bone, bypassing the outer and middle ear. If the client hears the sound more in one ear than the other, it indicates conductive hearing loss in the ear that hears it less. Whispering words (
B) and delivering high-pitched sounds (
A) are not part of the Weber's test. Holding the tuning fork against the mastoid process (
D) is part of the Rinne test, not the Weber's test.
Question 3 of 5
A nurse is obtaining a health history from a client. Which of the following factors places the client at risk for cardiovascular disease?
Correct Answer: B
Rationale: The correct answer is B: Metabolic syndrome. Metabolic syndrome includes risk factors such as high blood pressure, high blood sugar, excess body fat around the waist, and abnormal cholesterol levels, all of which increase the risk of cardiovascular disease. Competitive sports (
A) generally reduce the risk of heart disease by promoting physical fitness. Family history of alcohol use disorder (
C) is not directly linked to cardiovascular disease risk. Hypotension (
D) is low blood pressure and is not a risk factor for cardiovascular disease.
Question 4 of 5
A nurse is caring for a client who has a colostomy. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Ensure the pouch is 0.32 cm (1/8 in) larger than the stoma. This is important to prevent irritation and damage to the stoma. If the pouch is too tight, it can constrict blood flow and cause injury. Rubbing the peristomal skin dry (
A) can cause irritation, applying the pouch while the skin is damp (
B) can lead to poor adhesion, and changing the pouch every 24 hours (
C) is unnecessary unless leakage or skin irritation occurs.
Question 5 of 5
A nurse is teaching a client who can only bear weight on one leg how to ambulate using crutches. Which of the following crutch gaits should the nurse plan to instruct the client to use?
Correct Answer: D
Rationale: The correct answer is D: Three-point gait. This gait is appropriate for a client who can only bear weight on one leg. In a three-point gait, the client moves both crutches and the affected leg forward together, then advances the unaffected leg. This gait provides maximum support and stability for the client while keeping weight off the affected leg. Other options are incorrect: A: Four-point gait involves alternating movement of crutches and feet, not suitable for one-legged weight-bearing. B: Two-point gait requires partial weight-bearing on both legs, not appropriate for this client. C: Swing-through gait involves swinging both legs through, unsuitable for one-legged weight-bearing.