ATI Fundamentals Practice Exam A questions with correct answers

A nurse is assessing an older adult client's risk for falls. Which of the following assessments should the nurse use to identify the client's safety needs? (Select all that apply). a. lacrimal apparatus b. pupil clarity c. appearance of bulbar conjunctiva d. visual fields e. visual acuity Correct Answer - b. pupil clarity d. visual fields e. visual acuity Pupil clarity is correct. Cloudy pupils mean that the client has cataracts. This makes vision cloudy and creates halos around lights, which can increase the risk for falls because clients cannot see items in their path clearly. Visual fields is correct. Clients who have a visual field impairment are at an increased risk for falls because they might not see objects outside of their central vision and trip over them or bump into them and fall. Visual acuity is correct. Clients who have impaired visual acuity are at an increased risk for falls because they might not see objects in their path and trip over them or bump into them and fall A nurse is responding to a call light and finds a client lying on the bathroom floor. Which of the following actions should the nurse take first? a. check the client for injuries b. move hazardous objects away from the client c. notify the provider d. ask the client how she felt prior to the fall Correct Answer - a. check the client for injuries