ATI RN
ATI 110 Fundamentals Exam 1 Questions
Extract:
Question 1 of 5
A nurse is reviewing a fall risk assessment for a client. Which of the following findings places the client at risk for a fall? Select all that apply.
Correct Answer: A,D,E
Rationale: Cords and rugs are tripping hazards, and macular degeneration impairs vision, increasing fall risk. Canes and grab bars reduce risk.
Question 2 of 5
A nurse is assessing a client for orthostatic hypotension. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: Baseline supine BP is taken first to compare with sitting and standing readings for orthostatic changes. Other steps follow.
Question 3 of 5
A nurse is obtaining an oxygen saturation on a client. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: A finger with <2 sec capillary refill ensures good perfusion for accurate pulse oximetry. Waiting 10 sec is unnecessary, BP cuffs interfere, and relocating every 8 hrs isn’t routine.
Question 4 of 5
A nurse is assessing a client who has a wound that is healing by primary intention. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: Primary intention involves sutured wound edges for faster healing. Granulation is secondary intention, healing is quick, and contamination risks infection.
Question 5 of 5
A nurse is caring for a client with a scheduled procedure. While preparing the client for transport they appear anxious and ask the nurse where they should hide their cellphone during the procedure. The nurse offers to lock the item in a secure area. Which category of Maslow's hierarchy of needs is the nurse addressing?
Correct Answer: A
Rationale: Securing the cellphone addresses safety needs, ensuring protection of belongings. Esteem, love, and physiological needs are not directly related to this concern.