ATI RN
ATI Nur 105 Fundamentals Exam Questions
Extract:
Question 1 of 5
A nurse is preparing to move a client who is only partially able to assist up in bed. Which of the following methods should the nurse plan to use?
Correct Answer: A
Rationale:
Correct
Answer: A
Rationale: Using two nurses with a friction-reducing device is the safest and most effective method. The device reduces friction, making it easier to move the client. It also ensures proper body mechanics and minimizes the risk of injury for both the client and the nurses.
Summary of other choices:
B: One nurse lifting while the client pushes with his feet can put excessive strain on the nurse's back and may not provide enough assistance for the client.
C: Lifting the client under the shoulders can cause discomfort and potential injury to the client, as well as strain for the nurses.
D: One nurse lifting the client's legs with a trapeze bar may not provide enough support and stability for the client, increasing the risk of falls or injury.
Question 2 of 5
A nurse in a clinic is teaching the mother of a 4-month-old infant who has been breastfed. The mother plans to switch her infant to an iron-fortified formula. Which of the following should be included in the teaching?
Correct Answer: B
Rationale: The correct answer is B: Iron stores in infants begin to deplete. At around 4 months, an infant's iron stores from birth start to diminish, making it important to introduce iron-rich foods or iron-fortified formula to prevent iron deficiency anemia.
Choice A is incorrect because iron is not directly related to vision development in infants.
Choice C is incorrect as iron is more crucial for blood production than bone growth.
Choice D is incorrect as infants can absorb iron efficiently when provided in the right form.
Question 3 of 5
A nurse at an extended-care facility is instructing a class of assistive personnel (AP) about client use of assistive devices during ambulation. Which of the following instructions should the nurse give the APs about the clients' use of a cane?
Correct Answer: D
Rationale: The correct answer is D: When the client moves, he should move the cane forward first. This is because the cane provides stability and support, so it should be used to bear weight and provide balance before the client moves their weaker leg. Moving the cane forward first helps to ensure the client maintains balance and stability during ambulation.
Choice A is incorrect as moving the strong leg first can disrupt balance and increase the risk of falls.
Choice B is incorrect as the cane should be held on the stronger side to provide support to the weaker side.
Choice C is incorrect as the grip of the cane should be at the level of the client's greater trochanter, not the waist, to optimize support and stability.
Question 4 of 5
A nurse is caring for a client who has not voided for 8 hr following the removal of an indwelling urinary catheter. Which of the following actions should be the nurse take first?
Correct Answer: C
Rationale: The correct answer is C: Perform a bladder scan. This is the first action the nurse should take to assess the client's bladder volume and determine if there is urinary retention. If the bladder scan shows a significant volume of urine, it may indicate the need for catheterization (choice
B). Providing assistance to the bathroom (choice
A) may not address the underlying issue of urinary retention. Increasing fluids (choice
D) may be helpful but should not be the first action without assessing the bladder volume.
Question 5 of 5
A nurse is reviewing the medication list for a client who has a new diagnosis of a small bowel obstruction. The nurse should withhold which of the following medications?
Correct Answer: C
Rationale: The correct answer is C: Senna. Small bowel obstruction can be worsened by the use of laxatives like senna, as they can increase peristalsis and exacerbate the obstruction. Ibuprofen (
A) may cause gastrointestinal irritation but is not contraindicated in this case. Omeprazole (
B) is a proton pump inhibitor that helps reduce stomach acid production and can be used to manage acid-related symptoms. Zolpidem (
D) is a sedative-hypnotic used for insomnia and does not directly affect the bowel.