ATI RN
ATI RN Fundamentals 2023 Questions
Extract:
Question 1 of 5
A nurse is preparing to reposition a client who has a lower back injury. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Roll the client as one unit in a smooth, continuous motion. This is the correct action because repositioning the client as one unit minimizes strain on the lower back area, reducing the risk of further injury. Rolling the client smoothly and continuously ensures a controlled movement, preventing sudden jerks or jolts that could exacerbate the injury.
B: Flex the client's knees - While flexing the client's knees can provide some support, it does not address the primary concern of repositioning the client as one unit to prevent strain on the lower back.
C: Place the client's arms at their sides - The position of the client's arms is not directly related to repositioning a client with a lower back injury.
D: Place the client on the side of the bed nearest the direction they will be turned - This action does not address the proper technique of repositioning the client as one unit to protect the lower back.
Overall, choice A
Question 2 of 5
A nurse is obtaining a health history from a client. Which of the following factors places the client at risk for cardiovascular disease?
Correct Answer: A
Rationale: The correct answer is A: Metabolic syndrome. Metabolic syndrome is a cluster of conditions that increase the risk of cardiovascular disease, including high blood pressure, high blood sugar, excess body fat around the waist, and abnormal cholesterol levels. These factors contribute to a higher likelihood of developing heart disease, stroke, and other cardiovascular issues.
Choice B, participation in competitive sports, does not inherently place a client at risk for cardiovascular disease; in fact, regular exercise is beneficial for heart health.
Choice C, family history of alcohol use disorder, may indicate a genetic predisposition to alcoholism but is not directly linked to cardiovascular disease risk.
Choice D, hypotension, is low blood pressure and is not typically associated with an increased risk of cardiovascular disease.
Question 3 of 5
A nurse is conducting the Weber's test on a client. Which of the following is an appropriate action for the nurse to take?
Correct Answer: B
Rationale: The correct answer is B: Place an activated tuning fork in the middle of the client's forehead. This is the appropriate action for the Weber's test because it helps determine if there is a conductive or sensorineural hearing loss. Placing the tuning fork on the forehead allows the sound to be conducted through bone to both cochleae simultaneously. If the client hears the sound equally in both ears, it suggests normal hearing or symmetrical hearing loss. If the client hears the sound louder in one ear, it indicates conductive hearing loss in that ear.
Choice A is incorrect because random high-pitched sounds do not specifically test for conductive vs. sensorineural hearing loss.
Choice C is incorrect because the tuning fork should be placed on the forehead, not the mastoid process, for the Weber's test.
Choice D is incorrect as whispering words does not test for conductive vs. sensorineural hearing loss.
Question 4 of 5
A nurse is caring for an adolescent client who has full-thickness burns on their leg. The client expresses concern about their future. Which of the following is a therapeutic response by the nurse?
Correct Answer: C
Rationale: The correct answer is C because it acknowledges the client's feelings and shows empathy. By reflecting the client's concern about the future, the nurse validates their emotions and opens up the opportunity for further discussion and support. Option A minimizes the client's concerns, B dismisses their feelings, and D is confrontational and may make the client feel judged.
Therefore, choice C is the most therapeutic response as it promotes a trusting nurse-client relationship.
Question 5 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: B
Rationale:
Correct
Answer: B - Ensure the client's heels are not touching the mattress.
Rationale: Keeping the client's heels off the mattress reduces pressure on this vulnerable area, decreasing the risk of developing pressure injuries. Pressure injuries commonly occur on bony prominences like the heels, making option A incorrect. Raising the head of the bed does not directly address pressure injury prevention, so option C is not the best choice. Repositioning every 4 hours is important but may not be sufficient to prevent pressure injuries, making option D less effective than ensuring the heels are off the mattress.