ATI RN
ATI Ns 117 Fundamentals Questions
Extract:
Question 1 of 5
What is the purpose of instructing the client to move the walker forward 6 to 8 inches, setting it down with all four feet on the floor when ambulating?
Correct Answer: C
Rationale: The correct answer is C:
To provide support for the client's weight while moving their weaker leg. By moving the walker forward 6 to 8 inches and ensuring all four feet are on the floor, the client can rely on the walker for support when lifting and advancing their weaker leg. This technique helps distribute the client's weight evenly and provides stability during ambulation. The other choices are incorrect because:
A) The purpose is not specifically to avoid pressure on the stronger leg;
B) Proper hand positioning is important but not the primary purpose of this instruction;
D) Center of gravity is not the main focus when instructing the client to move the walker forward.
Question 2 of 5
A charge nurse is reinforcing teaching with a newly licensed nurse about the advantages of electronic documentation. Which of the following information should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A: Same day access to client health record. Electronic documentation offers immediate access to client information, promoting timely care decisions and continuity.
Choice B is incorrect as electronic documentation enhances care coordination.
Choice C is incorrect as it should discuss the benefits of client-provider interaction.
Choice D is incorrect as electronic documentation reduces duplication of tests by facilitating data sharing.
Question 3 of 5
A nurse is assisting a client who had a lower extremity amputation with a bath. Which of the following actions should the nurse take?
Correct Answer: D
Rationale:
Correct
Answer: D - Provide the client with non-slip bath strips in the bathtub.
Rationale: Providing non-slip bath strips ensures client safety by reducing the risk of falls due to the client's lower extremity amputation. This promotes independence and prevents potential injuries.
Summary:
A: Filling the bathtub with water at 48° C is too hot and can cause burns.
B: Using bath oil can make the bathtub slippery, increasing the risk of falls.
C: Instructing the client to stay in the bathtub for a specific time may not be necessary for safety.
Question 4 of 5
When showering a patient, which of the following actions should the nurse take to ensure patient safety?
Correct Answer: A
Rationale: The correct answer is A: Assess the water temperature before allowing the patient to shower. This is crucial to prevent burns or discomfort for the patient. By checking the water temperature, the nurse can ensure it is safe and comfortable for the patient. Rushing through the shower (
B) is unsafe and may lead to accidents. Using hot water (
C) can scald the patient. Leaving the patient unattended (
D) poses a risk of falls or other accidents. It is important for the nurse to prioritize patient safety by assessing water temperature before showering.
Question 5 of 5
A nurse is caring for a client who reports abdominal pain. The nurse asks the client to describe what the pain feels like. The nurse is using which of the following components of the PQRST mnemonic?
Correct Answer: C
Rationale: The correct answer is C: Quality. In the PQRST mnemonic for pain assessment, Quality refers to the characteristics of the pain such as sharp, dull, burning, etc. By asking the client to describe what the pain feels like, the nurse is assessing the quality of the pain. This information helps in determining the potential causes and appropriate interventions.
A: Precipitating cause - This component refers to factors that trigger or worsen pain, not how the pain feels.
B: Region - This component refers to the location of the pain, not its quality.
D: Severity - This component refers to the intensity of pain, not its quality.