ATI RN
ATI RN Fundamentals 2023 I Questions
Extract:
Question 1 of 5
A nurse is planning care for a client who is immobile. Which of the following actions should the nurse include in the plan of care?
Correct Answer: A
Rationale: Trochanter rolls prevent hip rotation, maintaining alignment in immobile clients. Arms should be supported comfortably, crossing ankles risks circulation issues, and logrolling every 4 hr is unnecessary unless spinal injury is suspected—2-hour repositioning is standard.
Question 2 of 5
A nurse is caring for a client who is immobile. Which of the following interventions should the nurse plan to take to prevent plantar flexion contractures?
Correct Answer: B
Rationale: Foot splints maintain dorsiflexion, preventing plantar flexion contractures. Trochanter rolls align hips, abduction pillows prevent adduction, and propping up risks contractures without support.
Question 3 of 5
A nurse is caring for a client who requires airborne precautions. The nurse is preparing to leave the client’s room following a dressing change. Which of the following pieces of personal protective equipment should the nurse remove first?
Correct Answer: B
Rationale: Gloves are removed first as they contact contaminated surfaces, preventing pathogen spread to other PPE or skin. Eyewear, mask, and gown follow in sequence.
Question 4 of 5
A nurse is assessing a client who has left-sided weakness following a stroke. Which of the following findings is the nurse’s priority?
Correct Answer: B
Rationale: Frequent coughing while eating suggests aspiration risk, a priority due to potential pneumonia in stroke patients. Leaning indicates balance issues, low intake needs monitoring, and BP is elevated but not critical.
Question 5 of 5
A nurse is teaching an older adult client about reducing the risk for osteoporosis. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: A
Rationale: Walking three times weekly, a weight-bearing exercise, boosts bone density. Avoiding sun reduces vitamin D, decreasing dairy cuts calcium, and 250 mg calcium is too low—older adults need 1000-1200 mg daily.