ATI RN
ATI RN Fundamentals 2023 II Questions
Extract:
Question 1 of 5
A nurse is planning to change a client's tracheostomy ties. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Cutting old ties after new ones (
B) prevents dislodgement. Three fingers (
A) is too loose, quick-release (
C) is optional, neck extension (
D) risks discomfort.
Question 2 of 5
A nurse enters the room of a client who has a seizure disorder. The client is sitting in a chair and begins to experience a seizure. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Helping to the floor (
D) prevents falls, the first priority. Loosening (
A), turning (
B), and moving items (
C) follow.
Question 3 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: Three-point gait (
D) suits one-leg weight-bearing. Four-point (
A) and two-point (
B) need bilateral weight, swing-through (
C) is for non-weight-bearing.
Question 4 of 5
A home health nurse is teaching a client about home safety. Which of the following statements by the client indicates an understanding of the teaching? (Select all that apply.)
Correct Answer: B,C,D
Rationale: Grab bars (
B), fire plan (
C), and med checks (
D) enhance safety. Taping cords (
A) risks fire; replace them.
Question 5 of 5
A nurse is preparing to perform an anthropometric assessment on a client. Which of the following client data should the nurse include?
Correct Answer: B
Rationale: Weight (
B) is key for anthropometric assessment. Respiratory rate (
A), orientation (
C), and pain (
D) are unrelated.