ATI RN
ATI Fundamentals Exam Nursing 100 Exam 3 Questions
Question 1 of 5
The nurse moves a client's arm from an outstretched position to a position at the side of his body. What is the term used to describe this type of body movement?
Correct Answer: B
Rationale: The correct answer is B: Adduction. Adduction refers to moving a body part towards the midline of the body. When the nurse moves the client's arm from an outstretched position to the side of the body, she is bringing the arm closer to the midline, which is adduction. Extension (choice
A) is the opposite movement, where a body part is moved away from the midline. Circumduction (choice
C) is a circular movement involving flexion, extension, abduction, and adduction, which is not the case here. Abduction (choice
D) is moving a body part away from the midline, which is the opposite of what is described in the scenario.
Question 2 of 5
Doctor's order: 750 mL NS to infuse over 8 hours. How many mL/hr will you set the IV pump? Round to the nearest whole number.
Correct Answer: 94
Rationale:
To calculate the mL/hr rate, divide the total mL by the total hours: 750 mL / 8 hours = 93.75 mL/hr. Since the answer needs to be rounded to the nearest whole number, the correct rate would be 94 mL/hr. This ensures the correct infusion rate for the IV pump. Other choices are incorrect because they do not accurately calculate the infusion rate based on the given parameters.
Question 3 of 5
Upon assessment of the urine in a client's indwelling urinary catheter drain bag,the nurse notes the urine to be dark yellow. Which next step should the nurse implement?
Correct Answer: A
Rationale: The correct answer is A: Encourage fluid intake. Dark yellow urine indicates concentrated urine, which may be a sign of dehydration. Encouraging fluid intake can help dilute the urine and prevent further dehydration. Dehydration can lead to various health issues, so increasing fluid intake is essential.
Choice B (Reduce fluid intake) would worsen dehydration.
Choice C (Alert the healthcare provider of possible infection) is not warranted based solely on the color of the urine.
Choice D (No action is required) is incorrect because addressing dehydration is crucial.
Question 4 of 5
A nurse is assisting a client who has received crutches in an urgent care center following a foot injury. Which of the following statements should the nurse identify as an indication that the client needs additional teaching?
Correct Answer: A,B
Rationale:
Correct
Answer: A, B
Rationale:
A: "I will bear the weight of my body on my hands." - Incorrect. The client should bear weight on the hand grips of the crutches, not directly on the hands.
B: "I have a set of my brother's old crutches in my basement I can also use." - Incorrect. Each individual should have crutches fitted to their specific height and needs for proper support and safety.
C: "I will keep spare crutch tips handy." - Correct. Keeping spare crutch tips can be helpful in case the current ones wear out.
D: "I will inspect my crutches every day for signs of wear." - Correct. Regular inspection of crutches is important to ensure they are safe for use.
Summary: Options A and B are incorrect as they indicate potential misuse or lack of proper fitting. Options C and D are correct as they emphasize good practices for crutch maintenance and safety.
Question 5 of 5
A nurse is assessing a client who is experiencing complications due to immobility. Which of the following findings should the nurse expect? (Select All that Apply.)
Correct Answer: A,D,E
Rationale: The correct answer is A, D, and E.
- Contractures can occur due to prolonged immobility, leading to muscle shortening.
- Atelectasis, a condition where alveoli in the lungs collapse, can result from decreased lung expansion.
- Pressure ulcers are common in immobile clients due to prolonged pressure on skin and tissue.
B: Diarrhea is not directly related to immobility but may be due to other causes like infections or medications.
C: Polyuria, excessive urination, is not typically associated with immobility complications.
In summary, contractures, atelectasis, and pressure ulcers are common findings in clients experiencing complications due to immobility, while diarrhea and polyuria are not directly related to immobility.