ATI RN
ATI Fundamentals Exam Nursing 100 Exam 3 Questions
Question 1 of 5
A nurse is caring for a client who has a prescription for a stool test for occult. The nurse understands the purpose of the test is to check the stool for which of the following substances?
Correct Answer: D
Rationale: The correct answer is D: Blood. A stool test for occult blood is performed to detect hidden blood in the feces, which may indicate gastrointestinal bleeding. This test is important for screening and diagnosing various conditions such as gastrointestinal ulcers, inflammatory bowel disease, or colorectal cancer. Checking for bacteria (choice
A), parasites (choice
B), or steatorrhea (choice
C) would require different tests and are not the purpose of a stool occult blood test. Blood in the stool can be a significant indicator of underlying health issues, making it the correct substance to check for in this scenario.
Question 2 of 5
The nurse uses gait belts when assisting clients to ambulate. Which client would be a likely candidate for this assistive device?
Correct Answer: B
Rationale: The correct answer is B. A client with leg strength who can cooperate with movement is a likely candidate for a gait belt as they can actively participate in walking. Clients confined to bedrest (
A) cannot ambulate, clients with thoracic (
C) or abdominal (
D) incisions may have restrictions on movement due to surgical sites. Other choices do not provide enough information to determine candidacy for a gait belt.
Question 3 of 5
A nurse working in long-term care facility is assessing residents at risk for the development of a pressure injury. Which resident would be most at risk?
Correct Answer: A
Rationale: The correct answer is A. The resident who is 92 years old, uses a walker, is incontinent, and has an extensive cardiac history is at the highest risk for developing a pressure injury. Age, immobility (use of walker), incontinence, and medical conditions like cardiac history are all significant risk factors for pressure injuries. The combination of these factors increases the vulnerability of the skin to damage from pressure, leading to the development of pressure injuries.
Choice B is less likely as age is a major risk factor.
Choice C, a comatose client, may have reduced mobility but the other factors in choice A pose a higher risk.
Choice D, a client with dementia, may have mobility issues but the other factors in choice A still present a higher risk.
Question 4 of 5
A nurse applies padded boots to maintain the foot in dorsiflexion to a client who is comatose. The nurse is protecting the client from:
Correct Answer: B
Rationale: The correct answer is B: foot drop. By applying padded boots to maintain the foot in dorsiflexion, the nurse is preventing the foot from dropping into a plantar flexed position, which can lead to muscle contractures and permanent deformity. Foot drop is a common complication in comatose patients due to prolonged immobility. Decubitus ulcers (choice
A) are prevented by repositioning the client regularly. Pooling of blood (choice
C) is prevented by using compression stockings. Blood pressure changes (choice
D) are managed through proper positioning and monitoring.
Question 5 of 5
A client at a healthcare facility has been diagnosed with polyuria. How would the nurse describe the client's condition in the medical record?
Correct Answer: D
Rationale:
Correct
Answer: D - Greater than normal urinary volume
Rationale: Polyuria refers to excessive production of urine, resulting in greater than normal urinary volume. This term accurately describes the client's condition of increased urinary output.
Incorrect
Choices:
A: Inadequate elimination of urine - This choice suggests a problem with insufficient urine output, which is not consistent with polyuria.
B: Absence of urine - This choice indicates a complete lack of urine production, which is the opposite of polyuria.
C: Difficult or uncomfortable voiding - This choice describes dysuria, a condition characterized by pain or discomfort during urination, not excessive urine output.