ATI RN
ATI Nur 231 Fundamentals Exam Questions
Extract:
Question 1 of 5
A nurse is preparing to clean a client's dentures. Which of the following actions should the nurse plan to take?
Correct Answer: B
Rationale: Place the client's dentures on a washcloth in a sink: This is a proper action to take when cleaning dentures. Placing the dentures on a washcloth in the sink provides a cushioned surface to prevent them from breaking if they slip out of the nurse's hands.
Question 2 of 5
A nurse is admitting an older adult from Mumbai, India who is visiting family members in the US. Which of the following would be most appropriate for the nurse to say?
Correct Answer: C
Rationale: Can you tell me how your culture will impact the care I will give?: This approach demonstrates respect for the patient's cultural background and invites them to share their beliefs, values, and preferences. It allows for an open dialogue and helps the nurse understand how to provide culturally competent care tailored to the patient’s needs.
Question 3 of 5
A nurse accidentally sticks her hand with a syringe after administering an IM injection to a client. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Wash the area of the puncture thoroughly with soap and water: The first action the nurse should take after a needlestick injury is to immediately wash the area with soap and water. This is crucial for minimizing the risk of infection and exposure to potentially infectious materials.
Question 4 of 5
A nurse is caring for a client who is prescribed bedrest. The plan of care indicates that the client should perform isometric exercises every 2 hr. Which of the following actions should the nurse take as directed by the plan of care?
Correct Answer: D
Rationale: Instruct the client to tighten muscle groups for a short period, and then relax: This accurately describes isometric exercises, where the client contracts specific muscle groups (e.g., arms, legs, abdomen) without moving the joints. These exercises help maintain muscle strength and prevent atrophy while the client is on bedrest. The nurse should guide the client to perform these contractions for a few seconds, followed by relaxation, as directed by the plan of care.
Question 5 of 5
The patient has a risk for skin impairment and has a 15 on the Braden Scale upon admission. The nurse has implemented interventions. Upon reassessment, which Braden score will be the best sign that the risk for skin breakdown is removed?
Correct Answer: A
Rationale: 18: A score of 18 on the Braden Scale indicates that the patient is at low risk for skin breakdown. A score of 18 or above suggests that the implemented interventions have effectively reduced the risk of skin impairment.