ATI Skills Test My notes with Complete
Solutions | Guaranteed Success
When grabbing a cane, a client should place it on _______ side. -✔✔
Unaffected
A client is rising to a standing position using a cane...
True or false: Upon rising he or she should have the unaffected hand on
the cane and the affected hand on the bed or bed rail to push up. -✔✔ True
True or false: The client should place the cane on her unaffected side 9-12
inches in front of her. -✔✔ False: the client should place the cane 6-12
inches in front of his or her body.
When ambulating a client using a cane, the nurse should stand on which
side? -✔✔ The affected side
When ambulating with a cane, the client should move which side first? -✔✔
Affected leg- should be move forward to be even or meet with the cane
True or false: When ambulating with a cane the client moves the unaffected
leg first. -✔✔ False- After moving the affected leg forward, the client shifts
,weight to the unaffected leg and cane. Then advance the unaffected leg in
front of the cane.
Name the steps in which a client will walk with a cane. -✔✔ 1. With the
cane 6-12 inches in front of client, he or she moves the affected side to be
even with the cane.
2. Client shifts weight to the unaffected side and the cane.
3. Client advances the unaffected side in front of the cane.
4. Client moves the cane froward
*Repeat the steps in a cycle.
When a client is rising with two crutches, how does she stand? -✔✔ Client
should place both crutches on the unaffected side while the other hand is
on the bed rail to push up. Next, place a crutch under each arm. Then
move the crutches 6 inches to the side and 6 inches forward to create
crutch stance.
Basically client repeats these steps when sitting such as moving the
crutches to unaffected side and holding onto bed rail.
,Also remember crutches should never put pressure on axillae and elbows
should be bent to 30 degrees.
4 Point gait (partial weight bearing): Think all four points touch the floor.
Think all 4 points line up. -✔✔ 1. Move right crutch forward (6-10 inches)
2. Move left foot forward to meet left crutch
3. Move right foot forward to meet right crutch
4. Move right crutch forward
5. Repeat cycle
**Numbers are different 6-12 inches in front or 6-10 inches but remember
around this range.
3 point gait: (Pt cannot bear wt on one leg): 3 points on the ground -✔✔ 1.
Move both crutches forward with weight on unaffected leg
2. Move unaffected leg forward shifting weight to the crutches
3. Repeat cycle
2 point gait: (partial wt bearing on both legs but needs less support than the
4 point gait).
Think like 2 different points. -✔✔ 1. Move leg foot and right crutch at same
time
2. Move right crutch and left foot at same time
, 3. Repeat cycle
Swing to gait (bear wt on both legs = stability and arm strength) -✔✔ 1.
Move both crutches forward
2. Lift both legs and swing forward next to crutches
3. Repeat cycle
Swing-Through gait (bear wt on both legs w/good arm and shoulder
strength) -✔✔ 1. Move crutches forward
2. Lift feet and wing through crutches w/feet in front of crutches
3. Repeat cycle
When ambulating the client which side does the nurse stand on? -✔✔
Affected side
Client rises by placing a hand on the bed rail and the other on the bed..
True or false: After grasping the walker, client moves unaffected leg with
the walker. -✔✔ False: Client moves the affected leg with the walker
Then she advances the unaffected leg to meet walker and opposite leg.
Mechanical lift -✔✔ - HOB flat/client supine
- Sling under client from shoulder to knees
- Then raise HOB w/Pt's arm crossed and connect straps to lift
Solutions | Guaranteed Success
When grabbing a cane, a client should place it on _______ side. -✔✔
Unaffected
A client is rising to a standing position using a cane...
True or false: Upon rising he or she should have the unaffected hand on
the cane and the affected hand on the bed or bed rail to push up. -✔✔ True
True or false: The client should place the cane on her unaffected side 9-12
inches in front of her. -✔✔ False: the client should place the cane 6-12
inches in front of his or her body.
When ambulating a client using a cane, the nurse should stand on which
side? -✔✔ The affected side
When ambulating with a cane, the client should move which side first? -✔✔
Affected leg- should be move forward to be even or meet with the cane
True or false: When ambulating with a cane the client moves the unaffected
leg first. -✔✔ False- After moving the affected leg forward, the client shifts
,weight to the unaffected leg and cane. Then advance the unaffected leg in
front of the cane.
Name the steps in which a client will walk with a cane. -✔✔ 1. With the
cane 6-12 inches in front of client, he or she moves the affected side to be
even with the cane.
2. Client shifts weight to the unaffected side and the cane.
3. Client advances the unaffected side in front of the cane.
4. Client moves the cane froward
*Repeat the steps in a cycle.
When a client is rising with two crutches, how does she stand? -✔✔ Client
should place both crutches on the unaffected side while the other hand is
on the bed rail to push up. Next, place a crutch under each arm. Then
move the crutches 6 inches to the side and 6 inches forward to create
crutch stance.
Basically client repeats these steps when sitting such as moving the
crutches to unaffected side and holding onto bed rail.
,Also remember crutches should never put pressure on axillae and elbows
should be bent to 30 degrees.
4 Point gait (partial weight bearing): Think all four points touch the floor.
Think all 4 points line up. -✔✔ 1. Move right crutch forward (6-10 inches)
2. Move left foot forward to meet left crutch
3. Move right foot forward to meet right crutch
4. Move right crutch forward
5. Repeat cycle
**Numbers are different 6-12 inches in front or 6-10 inches but remember
around this range.
3 point gait: (Pt cannot bear wt on one leg): 3 points on the ground -✔✔ 1.
Move both crutches forward with weight on unaffected leg
2. Move unaffected leg forward shifting weight to the crutches
3. Repeat cycle
2 point gait: (partial wt bearing on both legs but needs less support than the
4 point gait).
Think like 2 different points. -✔✔ 1. Move leg foot and right crutch at same
time
2. Move right crutch and left foot at same time
, 3. Repeat cycle
Swing to gait (bear wt on both legs = stability and arm strength) -✔✔ 1.
Move both crutches forward
2. Lift both legs and swing forward next to crutches
3. Repeat cycle
Swing-Through gait (bear wt on both legs w/good arm and shoulder
strength) -✔✔ 1. Move crutches forward
2. Lift feet and wing through crutches w/feet in front of crutches
3. Repeat cycle
When ambulating the client which side does the nurse stand on? -✔✔
Affected side
Client rises by placing a hand on the bed rail and the other on the bed..
True or false: After grasping the walker, client moves unaffected leg with
the walker. -✔✔ False: Client moves the affected leg with the walker
Then she advances the unaffected leg to meet walker and opposite leg.
Mechanical lift -✔✔ - HOB flat/client supine
- Sling under client from shoulder to knees
- Then raise HOB w/Pt's arm crossed and connect straps to lift
