ATI Mobility 2026/2027 Actual Exam | Updated
Questions & Verified Answers NGN Format | Exam-
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UNFOLDING CASE STUDY 1: Post-Operative Hip Replacement
Scenario Part 1 (Recognizing Cues):
A 72-year-old patient is 24 hours post-operative following a total hip replacement. The patient is
on bed rest with orders to begin ambulating with physical therapy today. The nurse notes that the
patient is reluctant to get out of bed, stating, "I'm afraid I'll fall." The patient has a history of
osteoporosis and lives alone.
Q1: Which of the following cues are MOST significant for this patient? (Select all that apply)
A. [ ] Age 72 years [CORRECT]
B. [ ] Post-operative day 1 [CORRECT]
C. [ ] Fear of falling [CORRECT]
D. [ ] History of osteoporosis [CORRECT]
E. [ ] Lives alone [CORRECT]
Correct Answer: A, B, C, D, E
Rationale: All cues are significant. Age (A) increases fall risk. Post-operative day 1 (B) indicates
recent surgery and need for mobility. Fear of falling (C) may affect adherence. Osteoporosis (D)
increases fracture risk with falls. Living alone (E) affects discharge planning and home safety.
Scenario Part 2 (Analyzing Cues):
The patient's vital signs are stable. The nurse reviews the physical therapy order and notes that
the patient is to ambulate with a walker.
Q2: Based on the patient's fear of falling and history of osteoporosis, which of the following is
the priority concern?
A. Pain management
B. Patient safety during ambulation [CORRECT]
C. Discharge planning
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D. Patient education on hip precautions
Correct Answer: B
Rationale: Patient safety during ambulation is the priority, especially with fear of falling and
osteoporosis. Options A, C, and D are important but not the immediate priority.
Scenario Part 3 (Prioritizing Hypotheses):
The nurse is preparing to assist the patient with ambulation.
Q3: Which of the following is the priority nursing diagnosis for this patient?
A. Acute pain related to surgical incision
B. Risk for falls related to post-operative weakness and fear [CORRECT]
C. Impaired physical mobility related to surgery
D. Anxiety related to fear of falling
Correct Answer: B
Rationale: Risk for falls is the priority, as a fall could cause serious injury (especially with
osteoporosis). Options A, C, and D are important but not the immediate priority.
Scenario Part 4 (Generating Solutions):
The nurse is planning interventions to promote safe ambulation.
Q4: Which of the following interventions are appropriate for this patient? (Select all that apply)
A. [ ] Instruct the patient to use the walker by advancing it first, then the weaker leg, then the
stronger leg [CORRECT]
B. [ ] Position the walker behind the patient when sitting
C. [ ] Ensure the patient is wearing non-skid footwear [CORRECT]
D. [ ] Clear the path of obstacles [CORRECT]
E. [ ] Use a gait belt [CORRECT]
Correct Answer: A, C, D, E
Rationale: Correct walker gait: advance walker, weaker leg, stronger leg. Non-skid footwear,
clear path, and gait belt are essential for safety. Option B (walker behind) creates instability;
walker should be in front.
Scenario Part 5 (Taking Action):
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The nurse is assisting the patient to ambulate for the first time. The patient feels dizzy and starts
to sway.
Q5: Which of the following actions should the nurse take FIRST?
A. Lower the patient to the floor [CORRECT]
B. Call for assistance
C. Grab the patient's arm
D. Push the patient back toward the bed
Correct Answer: A
Rationale: If a patient starts to fall, the priority is to lower them safely to the floor to prevent
injury. Option B may delay action. Option C may cause injury. Option D is not safe.
Scenario Part 6 (Evaluating Outcomes):
The patient successfully ambulated to the doorway and back to bed without incident. The patient
reports feeling more confident.
Q6: Which of the following outcomes indicates that the interventions were effective?
A. Patient states, "I'm still afraid to walk"
B. Patient ambulated without falling [CORRECT]
C. Patient refused to get out of bed
D. Patient reports pain 8/10
Correct Answer: B
Rationale: Successful ambulation without falling indicates effective intervention. Options A and
C indicate ongoing fear/refusal. Option D indicates inadequate pain management.
UNFOLDING CASE STUDY 2: Long-Term Immobility Complications
Scenario Part 1 (Recognizing Cues):
A 78-year-old patient has been on bed rest for 2 weeks following a stroke. The nurse assesses the
patient and notes decreased breath sounds in the lung bases, erythema over the sacrum, and
constipation.
Q7: Which of the following complications of immobility is the patient at risk for? (Select all that
apply)
A. [ ] Atelectasis [CORRECT]