ATI RN
ATI Fundamentals Exam Special Unit ADN Questions
Extract:
Question 1 of 5
The nurse is completing a skin risk assessment using the Braden Scale. The patient has slight sensory impairment, has skin that is rarely moist, walks occasionally, and has slightly limited mobility, along with excellent intake of meals and no apparent problem with friction and shearing. Which score will the nurse document for this patient?
Correct Answer: D
Rationale: The correct score to document for this patient on the Braden Scale would be D: 20. The patient's assessment indicates slight sensory impairment, rarely moist skin, occasional walking, slightly limited mobility, excellent meal intake, and no issues with friction/shearing. Each of these factors contributes to the total score on the Braden Scale, with higher scores indicating lower risk. Slight sensory impairment and slightly limited mobility each contribute 1 point, rarely moist skin contributes 1 point, and excellent meal intake contributes 1 point. Walking occasionally contributes 1 point, and no apparent problem with friction/shearing contributes 1 point as well. Adding these points together gives a total score of 20, indicating a moderate risk for developing pressure ulcers. Other choices are incorrect because they do not accurately reflect the patient's specific assessment findings.
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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