ATI RN
ATI Nursing 100 Day Exam 4 Fundamentals Questions
Question 1 of 5
The nurse recognizes that which is not a necessary feature of a team?
Correct Answer: C
Rationale: The correct answer is C: Working in the same department. In a team, shared responsibility, mutual independence, and a common purpose are essential features for effective collaboration. Working in the same department is not necessary for a team to function cohesively; teams can be multidisciplinary or cross-functional. Shared responsibility ensures accountability, mutual independence allows team members to work autonomously yet collaboratively, and a common purpose aligns everyone towards a unified goal.
Therefore, choice C is not a necessary feature of a team.
Question 2 of 5
It is most critical for the nurse to use a filtered needle when preparing a parenteral medication that:
Correct Answer: A
Rationale: The correct answer is A: Is supplied in an ampule. When a medication is supplied in an ampule, it is crucial to use a filtered needle to prevent glass particles from entering the syringe, thereby avoiding potential harm to the patient. Ampules are sealed glass containers that are snapped open, increasing the risk of glass particles contaminating the medication. Using a filtered needle helps ensure the medication remains free of any particles.
Choices B, C, and D are incorrect because they do not specifically address the risk associated with using a non-filtered needle with medications supplied in ampules.
Question 3 of 5
The nurse must give a client an intramuscular injection of a medication which is very irritating to the subcutaneous tissues. To attempt to reduce irritation of the tissues which action should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Use the Z-track method. This technique involves displacing the skin laterally before administering the medication into the muscle. By using this method, the medication is less likely to leak into the subcutaneous tissue, reducing irritation.
Choice A may not prevent leakage into subcutaneous tissue.
Choice C refers to the angle of insertion, which is not directly related to tissue irritation.
Choice D, applying ice, may help with pain but doesn't prevent tissue irritation.
Question 4 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 5 of 5
On admission to the hospital the nurse notes that the client has a sacral wound that is yellow in color. What wound treatment would the nurse expect the health care provider to order?
Correct Answer: B
Rationale: The correct answer is B: Removal of nonviable tissue followed by a moist wound dressing. A yellow sacral wound indicates the presence of slough, which is nonviable tissue that needs to be removed to promote healing. Removing the nonviable tissue helps in creating a clean base for new tissue growth. A moist wound dressing helps create a moist environment that supports healing and prevents the wound from drying out. The other choices are incorrect because: A is not directly addressing the removal of nonviable tissue, C focuses more on barrier protection rather than wound healing, and D is incorrect as treatment is necessary for wound healing.