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: Three-point gait supports non-weight-bearing on one leg, advancing crutches then the affected leg. Swing-through is for paralysis, four-point and two-point require bilateral weight-bearing.
Question 2 of 5
A nurse is assessing a client who has left-sided weakness following a stroke. Which of the following findings is the nurse’s priority?
Correct Answer: B
Rationale: Frequent coughing while eating suggests aspiration risk, a priority due to potential pneumonia in stroke patients. Leaning indicates balance issues, low intake needs monitoring, and BP is elevated but not critical.
Question 3 of 5
A home health nurse is assessing the home environment of an older adult client who has osteoporosis. For which of the following findings should the nurse intervene?
Correct Answer: C
Rationale: Area rugs on tile floors pose a fall risk for osteoporosis clients, as they can slip or bunch, leading to fractures. Grab bars enhance safety, 47°C water is below scalding risk (49°
C), and organizers are beneficial.
Question 4 of 5
A nurse is teaching a client how to self-administer heparin. Which of the following instructions should the nurse include in the teaching?
Correct Answer: B
Rationale: Injecting 2 inches from the umbilicus avoids vascular areas, reducing bleeding risk. An 18-gauge needle is too large (25-27 gauge is standard), air bubbles in prefilled syringes ensure full dosing, and massaging increases bruising risk due to heparin’s anticoagulant effect.
Question 5 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: B
Rationale: Hourly ankle and knee exercises prevent muscle atrophy, contractures, and thromboembolism by promoting circulation and mobility. Removing stockings reduces DVT protection, holding breath risks hypotension, and 4-hour repositioning is too infrequent—every 2 hours is standard.