ATI RN
ATI Nur 231 Fundamentals Exam Questions
Extract:
Question 1 of 5
A nurse on the medical-surgical unit is conducting a fall risk assessment for four clients. The nurse should identify that which of the following clients is the greatest risk for a fall?
Correct Answer: B
Rationale: An older adult client who is confused and has urinary frequency: This client is at the greatest risk for a fall. Confusion can impair judgment and coordination, and urinary frequency can lead to hurried movements to the bathroom, increasing the likelihood of falls.
Question 2 of 5
The nurse assesses patients to determine their risk for healthcare acquired infections. Which hospitalized patient would the nurse consider most at risk for developing this type of infection?
Correct Answer: A
Rationale: A 60 year old patient who is on a mechanical ventilator: This patient is at the highest risk for healthcare-acquired infections (HAIs) due to the use of mechanical ventilation.
Question 3 of 5
A nurse is assisting with transferring a client from the bed to a wheelchair. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Lock the wheels of the bed and the wheelchair: This is a crucial safety measure. Locking the wheels prevents both the bed and the wheelchair from moving during the transfer, reducing the risk of falls or injuries for both the client and the nurse. Ensuring stability is essential for a safe and effective transfer.
Question 4 of 5
A nurse is teaching a client who has a history of falls about home safety. Which of the following statements should the nurse identify as an indication that the client understands the instructions?
Correct Answer: D
Rationale: I will place a bath seat in my shower to use when I bathe: This statement indicates an understanding of safety measures to prevent falls while bathing. Using a bath seat can provide stability and allow the client to bathe safely while reducing the risk of slipping or losing balance in the shower.
Question 5 of 5
A nurse is caring for a client who has impaired mobility. Which of the following support devices should the nurse plan to use to prevent the client from developing plantar flexion contractures?
Correct Answer: C
Rationale: Footboard: A footboard is the most appropriate device to prevent plantar flexion contractures. It provides support to the feet and helps keep them in a neutral position.