ATI RN
ATI RN Fundamentals 2019 Questions
Extract:
Question 1 of 5
A nurse is providing teaching to a client who is at risk for thrombus formation. Which of the following statements made by the client indicates an understanding of the teaching?
Correct Answer: A
Rationale: Performing leg exercises every 4 hours promotes circulation reducing thrombus risk. Massaging legs crossing legs or prolonged sitting increase clot risk or do not address prevention effectively.
Question 2 of 5
A nurse is caring for a client who refuses to follow the provider's prescription for strict bed rest. The nurse overhears an assistive personnel (AP) tell the client,If you do not remain in bed, I will place you in restraints. The nurse should identify that the AP is committing which of the following torts?
Correct Answer: A
Rationale: The AP's threat to use restraints instills fear of harm constituting assault. False imprisonment requires actual restriction of movement defamation involves false statements harming reputation and battery involves physical contact none of which occurred here.
Question 3 of 5
A nurse is caring for a client who has restraints to each extremity. Which of the following assessments should the nurse perform first?
Correct Answer: C
Rationale: Assessing peripheral pulses first ensures circulation is not compromised by restraints which could lead to serious complications like tissue ischemia. Skin integrity comfort and elimination needs are assessed subsequently to ensure overall safety and comfort.
Question 4 of 5
A nurse is teaching a group of newly licensed nurses about the Braden scale. Which of the following responses by a newly licensed nurse indicates an understanding of the teaching?
Correct Answer: D
Rationale: The Braden scale assesses six elements (sensory perception moisture activity mobility nutrition friction/shear) to predict pressure injury risk. The scoring range is 1-4 for most elements age is not directly measured and lower scores indicate higher risk.
Question 5 of 5
A nurse is caring for a client who is receiving continuous enteral feedings through a gastrostomy tube. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Flushing the tube with 10 mL of water every 2 hours prevents clogging and maintains patency. Tubing changes are typically every 24-48 hours heating formula risks burns and routine residual checks are not standard.