ATI RN
ATI Nursing 100 Day Exam 4 Fundamentals Questions
Question 1 of 5
The nurse recognizes that the most appropriate reason to suction a client is that:
Correct Answer: D
Rationale: The correct answer is D because gurgling respirations indicate potential airway obstruction, requiring immediate suctioning to clear the airway and prevent respiratory distress. Suctioning every 8 hours (
A) is not based on the client's condition. Suctioning every hour (
B) without a specific indication may cause harm. Client coughing and swallowing sputum (
C) indicate a functioning airway.
Question 2 of 5
A group that has transformed itself from a collection of individuals into a productive problem-solving highly functioning team would be functioning in which stage of group development?
Correct Answer: D
Rationale: The correct answer is D: Performing. At this stage, the team is highly productive and effective in problem-solving, having resolved conflicts and established norms (Norming), addressed initial challenges (Storming), and formed as a group (Forming). Performing signifies peak performance and synergy within the team, where members work collaboratively and efficiently towards achieving common goals. Other choices are incorrect because Norming focuses on establishing cohesion and norms, Storming on resolving conflicts, and Forming on initial team formation. These stages precede the Performing stage, where the team reaches its full potential.
Question 3 of 5
The nurse is aware that a common cause of under delegation in client care is:
Correct Answer: C
Rationale: The correct answer is C: A need for perfectionism and control. Nurses may under delegate care tasks due to a desire for perfectionism and control over the outcomes, leading to a reluctance to entrust tasks to others. This can stem from concerns about quality of care or fear of mistakes. In contrast, choice A is incorrect as it suggests over-delegation, not under-delegation.
Choice B is incorrect as trust in delegates does not typically lead to under-delegation.
Choice D is incorrect because nurses often face time constraints, which can necessitate delegation.
Question 4 of 5
A nurse is caring for a client being treated for hypernatremia. Which of the following are appropriate nursing interventions? (Select all that apply)
Correct Answer: B,D,E
Rationale:
Correct
Answer: B, D, E
Rationale:
B: Restricting sodium in the diet is crucial for managing hypernatremia as it helps lower the sodium levels in the body.
D: Monitoring vital signs is essential to assess the client's overall health status and detect any potential complications related to hypernatremia.
E: Monitoring intake and output helps ensure proper fluid balance, which is essential in managing hypernatremia by regulating the client's hydration status.
Incorrect
Choices:
A: Encouraging eating potassium-rich foods is not directly related to treating hypernatremia. Instead, potassium is commonly monitored in conditions like hyperkalemia.
C: Decreasing water intake can worsen hypernatremia as it further concentrates sodium levels in the body, leading to more severe symptoms.
Question 5 of 5
The nurse has applied a topical agent to the client's skin and then applies an ice pack to the area. This is done to:
Correct Answer: B
Rationale: The correct answer is B: Slow absorption of the drug. Applying an ice pack to the skin after a topical agent helps to vasoconstrict blood vessels, reducing blood flow to the area. This, in turn, slows down the absorption of the drug into the bloodstream, providing localized effects and decreasing the risk of systemic absorption. This is particularly useful for medications that are intended to have a local effect and should not enter the systemic circulation in high amounts.
Incorrect answers:
A: Decrease discomfort to the skin - While applying an ice pack may help decrease discomfort, the primary purpose in this scenario is related to drug absorption.
C: Enhance drug excretion - Applying an ice pack would not enhance drug excretion.
D: Maximize drug distribution - The ice pack would not maximize drug distribution but rather slow down absorption.