ATI N103N103 Fundamentals Final Exam | Nurselytic

Questions 79

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ATI N103N103 Fundamentals Final Exam Questions

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Question 1 of 5

A nurse on the medical-surgical unit is conducting a fall risk assessment on four clients. Which of these clients would be at greatest risk for falls?

Correct Answer: C

Rationale: The correct answer is C: An older adult client who is confused and has urinary frequency. This client is at the greatest risk for falls due to a combination of factors. Firstly, advanced age increases the risk of falls due to decreased balance and coordination. Secondly, confusion impairs the client's ability to recognize hazards and make safe decisions. Additionally, urinary frequency may lead to frequent trips to the bathroom, increasing the risk of falls during nighttime or when the client is rushing. The other choices are less likely to result in falls: A has assistance, B has been using crutches which implies mobility and independence, and D's diabetes and leg ulcer do not directly impact fall risk.

Question 2 of 5

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Question 3 of 5

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Question 4 of 5

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Question 5 of 5

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