ATI RN
ATI Fundamentals 2023 Retake Questions
Extract:
Question 1 of 5
A nurse is obtaining a health history from a client. The nurse should recognize which of the following data as placing the client at higher risk for osteoporosis?
Correct Answer: A
Rationale: The correct answer is A: The client has a sedentary lifestyle. Sedentary lifestyle, characterized by lack of physical activity, is a significant risk factor for osteoporosis due to decreased bone density. Weight-bearing exercises, like yoga in choice B, actually help strengthen bones and reduce the risk of osteoporosis. Vitamin A deficiency in choice C may affect bone health, but it's not as directly linked to osteoporosis as lack of physical activity. Moderate alcohol consumption as in choice D does not have a significant impact on osteoporosis risk compared to sedentary lifestyle.
Question 2 of 5
A nurse is caring for a client who is postoperative and is on bed rest. Which of the following actions should the nurse take to decrease the client's risk of developing a pressure injury?
Correct Answer: D
Rationale: The correct answer is D: Ensure the client's heels are not touching the mattress. This is crucial in preventing pressure injuries as pressure on the heels can lead to tissue damage. Elevating the heels off the bed reduces pressure and improves circulation. Repositioning every 4 hours (choice
A) is important but may not be enough to prevent heel pressure injuries. Raising the head of the bed (choice
B) is more for respiratory support and does not directly prevent pressure injuries. Massaging bony prominences (choice
C) can actually increase the risk of skin breakdown.
Question 3 of 5
A nurse is preparing to teach a female client about osteoporosis prevention. Which of the following recommendations should the nurse make for this client?
Correct Answer: A
Rationale: The correct answer is A: Walk for 30 minutes three to five times each week. Weight-bearing exercises like walking help to build and maintain bone density, reducing the risk of osteoporosis. Walking is accessible, low-impact, and can be easily incorporated into daily routine.
Choice B (water aerobics) is beneficial for overall fitness but may not have the same bone-strengthening effects as weight-bearing exercises.
Choice C (maintain a lean body mass) is important for general health but not specific to osteoporosis prevention.
Choice D (increase intake of vitamin B12) is not directly linked to osteoporosis prevention.
Question 4 of 5
A nurse is planning care for a client who has a prescription for extremity restraints to both wrists. Which of the following actions should the nurse include in the plan of care? (Select all that apply.)
Correct Answer: B,D,E
Rationale: The correct answer includes choices B, D, and E. Padding bony prominences before applying restraints prevents skin breakdown and discomfort. Ensuring the bed is in the lowest position prevents falls and injury. Assessing skin temperature and color before applying restraints ensures proper circulation and skin integrity.
Choice A is incorrect as attaching restraints to the bed rail can cause harm or restrict movement.
Choice C is incorrect as restraints should allow room for only two fingers to slide under, not three.
Question 5 of 5
A nurse is assessing a client who is receiving a blood transfusion. The nurse notes lung crackles, hypoxia, and distended neck veins. Which of the following actions should the nurse take? (Select all that apply.)
Correct Answer: A,B,D,E
Rationale:
Correct
Answer: A, B, D, E
Rationale:
A: Obtain a prescription for a diuretic - Lung crackles and distended neck veins indicate fluid overload, so a diuretic can help to reduce fluid volume.
B: Administer oxygen to the client - Hypoxia indicates inadequate oxygenation, so administering oxygen is crucial to improve oxygen levels.
D: Stop the transfusion - These signs suggest a transfusion reaction, so stopping the transfusion is essential to prevent further harm.
E: Place the client in high-Fowler's position - Elevating the client's head can help improve breathing and oxygenation by reducing pressure on the lungs.
Summary of Incorrect
Choices:
C: Administer epinephrine to the client - Epinephrine is not indicated for fluid overload or transfusion reaction symptoms.
F: No information provided.
G: No information provided.