ATI RN
ATI Fundamentals 2023 Retake Questions
Extract:
Question 1 of 5
A nurse is providing teaching to a client about reducing the adverse effects of immobility. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: D
Rationale: The correct answer is D: "I will perform ankle and knee exercises every hour." This statement indicates an understanding of the teaching because performing ankle and knee exercises can help improve circulation, maintain muscle strength, and prevent blood clots which are common adverse effects of immobility. By engaging in regular exercises, the client can mitigate the negative impacts of being immobile.
Choice A is incorrect because holding breath when rising from a sitting position can increase the risk of orthostatic hypotension.
Choice B is incorrect as changing positions every 4 hours may not be frequent enough to prevent complications of immobility.
Choice C is incorrect as removing antiembolic stockings while in bed can increase the risk of blood clots.
Question 2 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, "You're concerned about what will happen when you leave the hospital?" This response shows empathetic listening, acknowledges the client's feelings, and opens the door for further discussion. Option A dismisses the client's feelings. Option B implies the client shouldn't be concerned. Option D minimizes the client's emotions and focuses solely on physical aspects.
Question 3 of 5
A nurse is teaching a client who has decreased mobility about passive range-of-motion exercises. Which of the following statements should the nurse make?
Correct Answer: C
Rationale: The correct answer is C: "I will repeat these movements 3 to 5 times." This statement is appropriate because it emphasizes the importance of repetition in passive range-of-motion exercises to prevent contractures and maintain joint flexibility. Moving joints quickly (
A) can cause injury. Performing movements once a day (
B) may not be sufficient for maintaining joint mobility. Moving joints to the point of mild pain (
D) can be harmful. The other choices are not relevant to the safe and effective performance of passive range-of-motion exercises.
Question 4 of 5
A nurse is planning care for a client who has acute pain as a result of a pressure injury to the sacrum. Which of the following nonpharmacological interventions should the nurse include in the plan?
Correct Answer: C
Rationale: The correct answer is C: Offer to play music in the client's room. Music therapy can help distract the client from the pain, promote relaxation, and decrease anxiety. This intervention can help the client cope with the pain in a nonpharmacological way. Loosening bed linens (
A) may provide comfort but does not directly address the pain. Massaging the sacrum (
B) may worsen the pressure injury. Providing bright lights in the room (
D) may exacerbate the client's discomfort.
Question 5 of 5
A nurse is caring for a client who has dysphagia. When assisting the client during breakfast, which of the following actions by the client indicates the nurse should intervene?
Correct Answer: A
Rationale:
Correct
Answer: A. The client drinking thickened juice with a straw should prompt intervention by the nurse. Thickened liquids are often recommended for clients with dysphagia to prevent aspiration. Using a straw with thickened liquids can alter the consistency and may increase the risk of aspiration. This action is potentially harmful to the client's safety and should be corrected immediately.
Summary:
B: Tucking the chin when swallowing is a proper technique to help prevent aspiration, so this action does not require intervention.
C: Taking frequent breaks while eating is a common strategy for individuals with dysphagia to pace themselves and reduce the risk of aspiration.
D: Adjusting the head of the bed to 90° is a recommended position to facilitate safe swallowing and reduce the risk of aspiration.