ATI RN
ATI Fundamentals 2023 Retake Questions
Extract:
Question 1 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: C
Rationale: The correct answer is C: Weight. Anthropometric assessment involves measuring body dimensions like weight, height, and body composition to evaluate a client's health status. Weight provides valuable information on nutritional status, hydration levels, and overall health. Level of orientation (
A) is related to cognitive function, not anthropometric assessment. Current pain level (
B) is important for pain management but not for anthropometric assessment. Respiratory rate (
D) is a vital sign and not typically part of anthropometric assessment. Weight is the most relevant data for this assessment.
Question 2 of 5
A nurse is caring for a client who has severe rheumatoid arthritis in her hands and is unable to feed herself. For which of the following health care team members should the nurse request a referral from the provider?
Correct Answer: C
Rationale: The correct answer is C: Occupational therapist. An occupational therapist specializes in helping individuals with physical limitations perform activities of daily living, such as feeding oneself. They can provide adaptive equipment and teach techniques to promote independence. Referring the client to an occupational therapist will address the specific needs related to the client's severe rheumatoid arthritis in her hands.
A: Physician assistant focuses on medical diagnosis and treatment, not specifically on activities of daily living.
B: Physical therapist focuses more on mobility and physical rehabilitation, not specifically on activities like feeding.
D: Social worker focuses on psychosocial aspects and support services, not specifically on physical rehabilitation.
Therefore, the best choice for addressing the client's feeding difficulty due to severe rheumatoid arthritis in her hands is to request a referral to an occupational therapist.
Question 3 of 5
A nurse is caring for a client who is postoperative and is on bed rest. Which of the following actions should the nurse take to decrease the client's risk of developing a pressure injury?
Correct Answer: D
Rationale: The correct answer is D: Ensure the client's heels are not touching the mattress. This is crucial in preventing pressure injuries as pressure on the heels can lead to tissue damage. Elevating the heels off the bed reduces pressure and improves circulation. Repositioning every 4 hours (choice
A) is important but may not be enough to prevent heel pressure injuries. Raising the head of the bed (choice
B) is more for respiratory support and does not directly prevent pressure injuries. Massaging bony prominences (choice
C) can actually increase the risk of skin breakdown.
Question 4 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: A
Rationale: The correct answer is A: Three-point gait. This gait is appropriate for a client who can only bear weight on one leg as it involves bearing weight on one leg while advancing both crutches forward, then advancing the unaffected leg forward. This gait provides maximum stability and support for the client.
B: Two-point alternating gait involves bearing weight on both legs alternately, which may not be suitable for a client who can only bear weight on one leg.
C: Four-point alternating gait involves bearing weight on both legs and crutches in a coordinated manner, which may be too complex for a client with limited weight-bearing ability.
D: Swing-through gait involves swinging both legs forward simultaneously, which is not suitable for a client who can only bear weight on one leg.
Therefore, the three-point gait is the most appropriate choice for this client.
Question 5 of 5
A nurse is caring for a client who has dysphagia and is receiving oral medications. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Administer the client's medications one at a time. This is important for a client with dysphagia to prevent aspiration. By giving medications one at a time, the nurse ensures the client can safely swallow and digest each pill without any complications. Encouraging the client to use a straw (
A) can increase the risk of aspiration. Giving medications between meals (
B) may not provide adequate supervision and support during medication administration. Assisting the client into semi-Fowler's position (
D) can help with swallowing, but administering medications one at a time is more specific to addressing the issue of dysphagia.