ATI RN
ATI RN VATI Fundamentals S 2019 Final Questions
Extract:
Question 1 of 5
A nurse is planning care for a client who reports having difficulty sleeping. Which of the following interventions should the nurse include in the plan of care?
Correct Answer: B
Rationale: Scheduling exercise 3 hours before bedtime promotes sleep by regulating the sleep-wake cycle without stimulating effects close to bedtime. Hot chocolate contains caffeine music may disrupt sleep and mealtime adjustment is less impactful.
Question 2 of 5
A nurse is planning care for a client who reports having difficulty sleeping. Which of the following interventions should the nurse include in the plan of care?
Correct Answer: B
Rationale: Scheduling exercise 3 hours before bedtime promotes sleep by regulating the sleep-wake cycle without stimulating effects close to bedtime. Hot chocolate contains caffeine music may disrupt sleep and mealtime adjustment is less impactful.
Question 3 of 5
A nurse is caring for a client who is at risk for pressure injury formation due to immobility. The nurse should place the client in which of the following positions to reduce pressure on the client's bony prominences?
Correct Answer: A
Rationale: The 30° lateral position distributes weight evenly reducing pressure on bony prominences. Semi-prone supine and Fowler’s positions increase pressure on areas like the sacrum and heels heightening pressure injury risk.
Question 4 of 5
A nurse is performing a bladder irrigation for a client who has an indwelling urinary catheter. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Slowly instilling 400 to 500 mL of solution effectively flushes the bladder without overdistension. Clamping the tubing prevents solution flow using a needle is inappropriate and withdrawing solution disrupts the irrigation process.
Question 5 of 5
A nurse is caring for a group of clients. Which of the following client-care situations requires the nurse to complete an incident report?
Correct Answer: A
Rationale: Administering enoxaparin in the deltoid is incorrect (should be abdomen or thigh) requiring an incident report for protocol deviation. Catheter advancement wound cleansing and tube flushing are standard practices.