ATI RN
ATI Nur 231 Fundamentals Exam Questions
Extract:
Question 1 of 5
The nurse is providing care to a client admitted with pressure injuries. The nurse develops a plan of care focusing on healing measures and prevention of further injury. Which task does the nurse delegate to the nursing assistive personnel (NAP)?
Correct Answer: A
Rationale: Turn and reposition the patient every 2 hours: This task can be delegated to nursing assistive personnel (NAP). NAPs are trained to assist with basic patient care tasks, including turning and repositioning patients.
Question 2 of 5
A charge nurse is making client care assignments. Which of the following tasks should the nurse delegate to assistive personnel (AP)? (Select all that apply.)
Correct Answer: A,C,E
Rationale: Bathe a client who had an amputation 2 days ago: This task can be delegated to assistive personnel (AP). Feed a client who had a stroke 3 months ago: This task can be delegated to APs, provided that the client is stable. Assist a client to ambulate using a gait belt: This task can be delegated to APs.
Question 3 of 5
A nurse is performing a home safety assessment for a client who has experienced a stroke. Which of the following findings are a safety hazards for the client? (Select All that Apply.)
Correct Answer: A,C,D,E
Rationale: The hot water heater is set at 54°C (130° F): This temperature poses a risk of burns, especially for a client who may have impaired mobility or sensation due to a stroke. Area rugs are placed in the living room: Area rugs can create tripping hazards, especially for clients who may have difficulty with balance or mobility after a stroke. Medications are stored in a clear bag: While storing medications in a clear bag may provide visibility, it does not ensure safety. Dim lighting installed throughout the house: Dim lighting can increase the risk of falls, especially for clients with visual impairments or those who may not be able to navigate their environment safely after a stroke.
Question 4 of 5
A patient is found to have a broken skin on his coccyx that has black eschar covering the base of the wound. How is this wound staged?
Correct Answer: D
Rationale: Unstageable: A wound is considered unstageable when there is full-thickness skin loss and the base of the wound is covered with necrotic tissue (eschar) or slough, making it impossible to determine the depth and true stage of the ulcer.
Question 5 of 5
A nurse is teaching an assistive personnel (AP) about using personal protective equipment while caring for clients. Which of the following statements should the nurse identify as an indication that the AP understands the instructions?
Correct Answer: A
Rationale: I will wear gloves and a gown when bathing a client who has open skin lesions: This statement indicates an understanding of the appropriate use of personal protective equipment (PPE) in a situation where there is a risk of exposure to blood or bodily fluids.