ATI RN
ATI 110 Fundamentals Exam 1 Questions
Question 1 of 5
A nurse is reviewing the medical history of a client who is listed for surgery. Which of the following findings places the client at risk for a complication of incisional hematoma forming?
Correct Answer: B
Rationale: The correct answer is B: The client takes anticoagulant medications. Anticoagulant medications inhibit blood clotting, increasing the risk of bleeding and hematoma formation at the surgical site. This poses a significant complication during and after surgery. Other choices are incorrect because being underweight (
A), having urinary incontinence (
C), and having peripheral vascular disease (
D) do not directly increase the risk of incisional hematoma formation.
Question 2 of 5
A nurse is documenting client care including only unexpected findings related to the client's condition. Which of the following documentation methods is the nurse utilizing?
Correct Answer: C
Rationale: Charting by exception (CBE) is the correct answer. CBE involves documenting only significant findings or exceptions to the norm. This method focuses on deviations from the expected baseline, promoting efficiency and highlighting important changes in the client's condition. By documenting unexpected findings related to the client's condition, the nurse is using CBE to streamline the documentation process and prioritize critical information. SOAP documentation (
A) involves subjective, objective, assessment, and plan format, which is more comprehensive. Focus charting (DAR) (
B) focuses on data, action, and response but does not specifically target unexpected findings. Problem-oriented medical record (POMR) (
D) emphasizes problem lists, making it less focused on exceptions.
Question 3 of 5
A nurse is caring for a client who has a Penrose drain. Which of the following actions should the nurse take?
Correct Answer: C
Rationale:
Rationale:
Choice C is correct because placing a perforated gauze pad around the drain helps absorb drainage and prevents skin irritation. This promotes wound healing and prevents infection.
Choice A is incorrect as it can introduce bacteria into the wound.
Choice B is incorrect because drainage should be emptied when it reaches a certain level, not necessarily when it is half full.
Choice D is incorrect as Penrose drains do not require suction.
Question 4 of 5
A nurse is preparing to perform hand hygiene with an alcohol-based hand sanitizer. Which of the following actions should the nurse plan to take?
Correct Answer: D
Rationale: The correct answer is D: Rub hand sanitizer around rings on fingers. This is important because rings can harbor bacteria and viruses, and by rubbing hand sanitizer around them, the nurse ensures that all surfaces of the hands, including under the rings, are effectively sanitized. This action helps prevent the transmission of pathogens.
A: Using hot water to rinse hand sanitizer off is unnecessary and can actually be harmful as it can cause skin irritation.
B: Drying hands with a reusable towel is not recommended as it can harbor germs and compromise hand hygiene.
C: Rubbing hands together for 20 seconds is a good practice, but the specific action related to rings is more crucial.
E, F, G: No information provided.
Question 5 of 5
A nurse is observing a newly licensed nurse set up a sterile field. Which of the following actions by the newly licensed nurse indicates an understanding of the procedure?
Correct Answer: B
Rationale: The correct answer is B because setting up a sterile field at waist height minimizes the risk of contamination. This position ensures better visibility and accessibility for the nurse while maintaining sterility.
Choice A is incorrect as preparing the sterile field too early can lead to contamination.
Choice C is incorrect as placing the sterile field against a wall increases the risk of contamination from the wall.
Choice D is incorrect because the first flap should be opened away from the body to prevent contamination.