ATI RN
ATI Fundamentals 100 Exam 4 Questions
Question 1 of 5
The client has an open wound on the sacrum with an order for the following: 'Apply hydrogel dressing on the wound. Change dressing every day.' The nurse recognizes that the primary purpose of this dressing is to:
Correct Answer: C
Rationale: The correct answer is C: provide moisture to the wound. Hydrogel dressings are designed to maintain a moist environment, promoting wound healing. The moisture helps facilitate autolytic debridement and reepithelialization.
Choice A is incorrect because hydrogel dressings do not primarily absorb wound drainage.
Choice B is incorrect as hydrogel dressings do not enhance healing by primary intention, but rather by secondary intention.
Choice D is incorrect since the primary purpose of hydrogel dressings is not to protect the wound from additional pressure but to provide a moist healing environment.
Question 2 of 5
The nurse is caring for a client who has been wearing a nitroglycerin patch and receives an order to start a nitroglycerin intravenous infusion. The old patch must be removed from the client's body in order to avoid:
Correct Answer: D
Rationale: The correct answer is D: drug overdose. When a client is transitioning from a nitroglycerin patch to an intravenous infusion, removing the old patch is crucial to prevent an overdose. If the patch is not removed, the client would be receiving nitroglycerin from both the patch and the intravenous infusion simultaneously, leading to excessive nitroglycerin levels in the body and a potential overdose. Removing the patch ensures a controlled transition and prevents the risk of toxicity.
Choices A, B, and C are incorrect as they do not directly address the potential harm of having both forms of nitroglycerin in the body simultaneously.
Question 3 of 5
A one-day post-operative client complains of severe abdominal pain and has shallow respirations at 22/minute. The client is reluctant to perform coughing and deep breathing. Based on the data, the priority problem that the nurse could assign to this patient is:
Correct Answer: B
Rationale: The correct answer is B: Ineffective breathing pattern. Severe abdominal pain can lead to shallow breathing, which may result in ineffective gas exchange and increased risk of respiratory complications. The priority is to address the breathing pattern to prevent respiratory compromise. Activity intolerance (
A) is not the priority as breathing takes precedence. Ineffective airway clearance (
C) is not the priority since the client's airway is not obstructed. Ineffective gas exchange (
D) may occur if the breathing pattern is not addressed but is not the priority at this moment.
Question 4 of 5
The nurse recognizes that the client is manifesting early signs of hypoxia when the assessment data includes:
Correct Answer: B
Rationale: The correct answer is B - restlessness, confusion, tachycardia. Early signs of hypoxia include restlessness and confusion due to the brain not receiving enough oxygen. Tachycardia is the body's compensatory mechanism to increase oxygen delivery. Bradycardia and lethargy (
A) are not usually seen in early hypoxia. Bradycardia, dyspnea, and cyanosis (
C) are more indicative of late-stage hypoxia. Hypotension and vomiting (
D) are not typical signs of hypoxia.
Question 5 of 5
The nurse is transcribing a medication order and schedules dosing for 10:00 AM, 2:00 PM and 6:00 PM. Which medication order is consistent with this schedule?
Correct Answer: C
Rationale: The correct answer is C: Cephalexin 500 mg PO q4 hours. This medication order aligns with the scheduled dosing times of 10:00 AM, 2:00 PM, and 6:00 PM as it is to be administered every 4 hours. This means the patient will receive the medication at 10:00 AM, 2:00 PM, and 6:00 PM as prescribed.
Explanation of why other choices are incorrect:
A: Diazepam 5 mg PO three times a day - This medication would need to be administered at different times to align with the schedule provided.
B: Propranolol 10 mg PO twice a day - This medication is scheduled for twice a day, not three times a day.
D: Morphine Sulfate 10 mg IM q 4 hours prn pain - This medication is for pain relief and is to be administered as needed every 4 hours, not at specific times like the