ATI FUNDAMENTALS EXAM 2021
(Detail Solutions and Resource for the test)
List the pertinent information that should be included in a transfer
... [Show More] report.
Medical diagnosis and care providers
Demographic information
Overview of health status, plan of care, recent progress
Alterations that can precipitate an immediate concern
Notification of assessments/care essential within the next few
hours
Most recent vital signs and medications, including PRN
Allergies
Diet/activity orders
Specific equipment/adaptive devices (oxygen, suction,
wheelchair)
Advance directives/emergency code status
Family involvement in care and health care proxy
A nurse is caring for an older adult client with dementia. What preventative measures
should the nurse institute to reduce the risk of falls?
Complete fall-risk assessment
Be sure client knows how to use the call light, it is in reach, and
encourage them to use it
Respond to call in timely manner
Use fall-risk alerts (color-coded wristbands)
Provide regular toileting and orientation of clients who have
cognitive impairment
Adequate lighting
Orient clients to the setting to make sure they know how to use
all assistive devices (grab bars)
Place clients at risk for falls near the nurses’ station
Hourly rounding
Make sure bedside tables, overbed tables and frequent-use
items (phone, water, tissues) are within reach
Bed in lowest position and lock brakes
Clients that are sedated, unconscious, or compromised, keep
side rails up
Avoid use of full side rails for clients who het out of bed or
attempt to get out of bed without assistance
Non-skid footwear and nonskid bath mats in tubs/showers
Use gait belts when moving clients
Keep floor clean, dry, and free of clutter with a clear path to the
bathroom (NO scatter rugs, cords, furniture)
Keep assistive devices nearby after validation of safe use
(eyeglasses, walkers, transfer devices)
The nurse is discharging a client home with instructions on proper crutch use. Identify
three (3) priority teaching points to include in the discharge instructions.
Do not alter crutches after fitting
Support body weight at the hand grips with elbows flexed at 30°
Position crutches on the unaffected side when sitting or rising
from a chair
The nurse is screening a client who has a family history of colorectal cancer. Identify
three (3) modifiable risk factors for colorectal cancer to discuss with the client.
Smoking
Lack of exercise
Diet deficiencies (too much red meat/processed meat in diet [Show Less]