ATI RN
ATI RN Fundamentals 2023 I Questions
Extract:
Question 1 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 statements nurse plan to instruct the client to use?
Correct Answer: B
Rationale: The correct answer is B: Three-point gait. This gait technique is suitable for a client who can only bear weight on one leg as it involves bearing weight on both crutches and the unaffected leg while the affected leg remains non-weight bearing. The swing-through gait (
A) involves both legs swinging through together, which may not be feasible for a client with weight-bearing restrictions. The four-point alternating gait (
C) and two-point alternating gait (
D) require partial weight-bearing on both legs, which is not suitable for this client.
Question 2 of 5
A home health nurse is caring for a client who has a chronic illness and recently moved in with their adult child. Which of the following statements by the client should indicate to the nurse that the client has adapted to their new situational role?
Correct Answer: D
Rationale: The correct answer is D: "It’s nice having other people cook for me." This statement indicates the client has adapted to their new situational role by accepting help from others, showing a shift from previous independence. The client acknowledging and appreciating the assistance with daily tasks like cooking signifies a positive adjustment.
Explanation of why other choices are incorrect:
A: "I’ve never been the kind of person to ask others for help" - This statement suggests a reluctance to seek help, indicating a lack of adaptation to the new situation.
B: "I’m looking forward to being able to be independent again" - This statement reflects a desire to regain independence, not necessarily adapting to the current living arrangement.
C: "I really don’t know what I’m supposed to do all day" - This statement indicates confusion and uncertainty, not adaptation to the new role.
Question 3 of 5
A nurse is caring for a client who requires airborne precautions. The nurse is preparing to leave the client’s room following a dressing change. Which of the following pieces of personal protective equipment should the nurse remove first?
Correct Answer: B
Rationale: The correct answer is B: Gloves. The nurse should remove gloves first because they are the most likely to be contaminated, reducing the risk of spreading pathogens. Removing gloves first prevents potential transfer of pathogens to other surfaces or PPE. Eyewear, mask, and gown should be removed in that order after gloves to minimize the risk of exposure. Eyewear protects the eyes, mask protects the nose and mouth, and gown protects clothing from contamination. Removing PPE in the correct order is crucial to prevent the spread of infection.
Question 4 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, as it includes a cluster of risk factors such as high blood pressure, high blood sugar, excess body fat around the waist, and abnormal cholesterol levels. These factors increase the risk of cardiovascular disease.
Choice B (Family history of alcohol use disorder) is incorrect as it does not directly relate to cardiovascular disease risk.
Choice C (Participation in competitive sports) is unlikely to increase cardiovascular disease risk and may even have a protective effect.
Choice D (Hypotension) is actually low blood pressure, which is not typically associated with increased cardiovascular disease risk.
Question 5 of 5
A nurse is caring for a client who had a stroke and coughs frequently when swallowing. The nurse should identify that which of following members of the interdisciplinary team?
Correct Answer: D
Rationale: The correct answer is D: Speech-language pathologist. The speech-language pathologist specializes in evaluating and treating swallowing difficulties (dysphagia) following a stroke. They can help the client with exercises and strategies to improve swallowing function and prevent complications like aspiration pneumonia. The other options are incorrect because:
A) An occupational therapist focuses on helping with activities of daily living;
B) A physical therapist assists with mobility and strength training;
C) A social worker provides emotional support and resources.