ATI Nur 231 Fundamentals Exam | Nurselytic

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ATI Nur 231 Fundamentals Exam Questions

Question 1 of 5

The nurse prepares to meet with assigned clients after receiving hand-off communication. Which statement or question demonstrates that the nurse is in the termination phase with a client?

Correct Answer: D

Rationale: The correct answer is D because it reflects the termination phase of the nurse-client relationship. During this phase, the nurse prepares the client for discharge or transition to another level of care. The statement "I’m going to miss talking with you every day but you are better and ready to go home now" indicates that the nurse recognizes the progress made by the client and acknowledges the impending end of the therapeutic relationship.


Choice A focuses on ongoing care instructions, not termination.
Choice B indicates the initiation phase of the relationship as the nurse is discussing admission.
Choice C is an assessment question, not related to termination.

In summary, choice D is correct as it specifically addresses the emotional aspect of ending the therapeutic relationship, while the other choices are more focused on ongoing care or initial interactions.

Question 2 of 5

A nurse is caring for a client who has impaired mobility. Which of the following support devices should the nurse plan to use to prevent the client from developing plantar flexion contractures?

Correct Answer: C

Rationale: The correct answer is C: Footboard. A footboard helps maintain the client's feet in a neutral position, preventing plantar flexion contractures by keeping the ankles at a 90-degree angle. The trochanter roll (
A) supports the hips, sheepskin heel pad (
B) reduces pressure on the heels but doesn't prevent plantar flexion contractures, and an abduction pillow (
D) maintains hip abduction. The footboard is the most appropriate device for preventing plantar flexion contractures in a client with impaired mobility.

Question 3 of 5

The nurse is assigned to the care of the following patients. In planning nursing care, the nurse knows to use touch cautiously when communicating with which patient?

Correct Answer: A

Rationale: The correct answer is A. When communicating with a middle-aged man experiencing the acute phase of myocardial infarction (MI), touch should be used cautiously due to the potential risk of exacerbating chest pain or causing discomfort.
Touching the patient could lead to increased myocardial oxygen demand and worsen the condition. In contrast, for the other patients: B:
Touch can be comforting for an older adult with dementia. C:
Touch can promote healing and comfort for a young adult in the rehabilitative phase after arthroscopic surgery. D:
Touch can provide emotional support for a middle-aged woman diagnosed with terminal lung cancer.

Question 4 of 5

Which of the following is a benefit of negative pressure wound therapy (NPWT) for skin wounds?

Correct Answer: C

Rationale:
Rationale:
Choice C is correct because NPWT promotes wound healing by increasing blood flow to the wound. Negative pressure helps remove excess fluid and debris, improves oxygenation, and enhances the formation of granulation tissue. This accelerates the healing process.

Choices A, B, and D are incorrect.
Choice A is wrong because collagen production is essential for wound healing.
Choice B is incorrect as NPWT does not directly numb the wound area.
Choice D is inaccurate because while NPWT can help reduce infection risk indirectly by promoting healing, it does not create a sterile environment.

Question 5 of 5

A nurse accidentally sticks her hand with a syringe after administering an IM injection to a client. Which of the following actions should the nurse take first?

Correct Answer: A

Rationale: The correct action for the nurse to take first is to wash the area of the puncture thoroughly with soap and water. This is because immediate cleaning of the wound can help reduce the risk of infection and transmission of any pathogens. Notifying the employee health services or reporting to the charge nurse can come after ensuring personal safety by cleaning the wound. Completing an incident report can also be done after addressing the immediate concern of cleaning the wound. Washing the area is the priority as it directly addresses the potential risk of infection and should be the initial response to an accidental needle stick injury.

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