ATI RN
ATI Fundamentals Exam Questions
Extract:
Question 1 of 5
A patient is admitted with a stroke. The outcome of this disorder is uncertain, but the patient is unable to move the right arm and leg. The nurse starts passive range-of-motion (ROM) exercises. Which finding indicates successful goal achievement?
Correct Answer: D
Rationale: Successful goal achievement in passive range-of-motion exercises is indicated by the maintenance of joint mobility. These exercises help prevent the stiffening of joints, preserve range of motion, and promote circulation. If the patient’s joint mobility is maintained, it shows that the passive ROM exercises are effectively preventing contractures and promoting the best possible outcome for the patient’s condition.
Question 2 of 5
A nurse is teaching about risk factors for developing a stroke with a group of older adult clients. Which of the following nonmodifiable risk factors should the nurse include?
Correct Answer: C
Rationale: Genetics are a nonmodifiable risk factor, as family history or genetic predispositions cannot be altered.
Question 3 of 5
A nurse is adhering to standard precautions while caring for a group of clients. For which of the following tasks should the nurse wear protective eye equipment? (Select all that apply.)
Correct Answer: B;C
Rationale: Suctioning a tracheostomy and irrigating a wound carry a risk of splashing bodily fluids, necessitating eye protection.
Question 4 of 5
The nurse is assessing the patient for respiratory complications of immobility. Which action will the nurse take assessing the respiratory system?
Correct Answer: A
Rationale:
To properly assess for respiratory complications related to immobility, the nurse should auscultate all lung fields to detect abnormal lung sounds such as crackles, wheezes, or decreased breath sounds. This thorough assessment helps identify early signs of respiratory compromise, such as atelectasis or pneumonia.
Question 5 of 5
A nurse is developing a plan of care for an older adult who is at risk for falls. Which of the following actions should the nurse plan to include in the plan? (Select all that apply)
Correct Answer: A;B;C;E
Rationale: Placing the bedside table within reach, teaching exercises, providing home safety information, and locking beds/wheelchairs reduce fall risk by enhancing accessibility, stability, and safety.