ATI RN
ATI Fundamentals Proctored Exam Study Guide 3 Questions
Extract:
Question 1 of 5
Nurse caring for client just admitted after falling. This client is oriented 3x & can follow directions. Which action(s) by nurse are appropriate to decrease risk of fall? (Select all that apply.)
Correct Answer: C,D,E
Rationale:
Correct
Answer: C, D, E
Rationale:
C: Ensuring the client's call light is within reach allows them to easily call for assistance, reducing the risk of falls.
D: Providing the client with nonskid footwear enhances traction, decreasing the likelihood of slipping and falling.
E: Completing a fall-risk assessment helps identify specific factors contributing to the client's fall risk, enabling tailored interventions for prevention.
Incorrect
Choices:
A: Placing a belt restraint on the client when sitting on the commode can lead to loss of autonomy and increase agitation, potentially escalating fall risk.
B: Keeping the bed in a low position with full side rails up may restrict the client's movement and independence, leading to frustration and potential attempts to climb out, increasing the risk of falls.
Question 2 of 5
Correct Answer:
Rationale:
Question 3 of 5
Correct Answer:
Rationale:
Question 4 of 5
Correct Answer:
Rationale:
Question 5 of 5
Correct Answer:
Rationale: