ATI RN
ATI Fundamentals Exam Nursing 100 Exam 3 Questions
Extract:
Question 1 of 5
The nurse uses gait belts when assisting clients to ambulate. Which client would be a likely candidate for this assistive device?
Correct Answer: B
Rationale: A client with leg strength who can cooperate with movement is a likely candidate for a gait belt. This device provides support and stability during ambulation. Clients confined to bedrest do not ambulate and those with thoracic or abdominal incisions may not need a gait belt unless mobility issues are present.
Question 2 of 5
The type of stool that will be expelled into the ostomy bag by a client who has undergone surgery for an ileostomy will be:
Correct Answer: A
Rationale: Stool expelled into an ileostomy bag is often of liquid consistency due to the diversion of the small intestine where less water is absorbed compared to the large intestine. Bloody or mucus-filled stool is not typical and soft semi-formed stool is more characteristic of a colostomy.
Question 3 of 5
When moving a client up in bed with the assistance of another caregiver,the nurse should:
Correct Answer: B
Rationale: Having the client fold their arms across the chest helps protect the arms and reduces the risk of injury during the move. It also stabilizes the client. Elevating the bed risks sliding consulting the plan of care is unrelated and a pillow is not necessary for moving.
Question 4 of 5
A nurse assessing a client notes that the client has a constant leakage of small amounts of urine and a bladder that is distended and palpable. The nurse should associate these findings with which of the following types of urinary incontinence?
Correct Answer: A
Rationale: Overflow incontinence involves constant leakage and a distended bladder due to incomplete emptying. Reflex is neurologic stress occurs with pressure and urge involves sudden voiding.
Question 5 of 5
A nurse working in long-term care facility is assessing residents at risk for the development of a pressure injury. Which resident would be most at risk?
Correct Answer: A
Rationale: The client who is 92 years old uses a walker is incontinent and has an extensive cardiac history is at higher risk for the development of pressure injuries due to age immobility and additional risk factors like incontinence and poor circulation from cardiac issues. Paraplegia and coma increase risk but the combination of factors in choice A is more severe. The client with a cane and dementia has fewer risk factors.