ATI RN
ATI Nursing 100 Day Exam 4 Fundamentals Questions
Question 1 of 5
A client must receive eyedrops bilaterally four times a day. The medication should be dropped onto which of the following areas?
Correct Answer: D
Rationale: The lower conjunctival sac is the appropriate site for eyedrops as it allows the medication to pool and be absorbed effectively while minimizing corneal irritation or systemic absorption. Dropping onto the sclera (outer or inner canthus) is less effective and may cause discomfort and the cornea is sensitive and prone to injury if directly targeted.
Question 2 of 5
The client has an open wound on the sacrum with an order for the following: Apply hydrogel dressing on the wound. Change dressing every day. The nurse recognizes that the primary purpose of this dressing is to:
Correct Answer: B
Rationale: Hydrogel dressings provide a moist environment to promote healing by facilitating autolytic debridement and granulation tissue formation. They do not primarily protect from pressure (handled by devices) enhance primary intention (for surgical wounds) or absorb drainage (hydrocolloids do this).
Question 3 of 5
A client is recently diagnosed with pneumonia. The nurse observes the client sitting upright in the bed and assesses a respiratory rate of 26. The client states I can't catch my breath. Which abbreviation would be used to document this presentation?
Correct Answer: C
Rationale: SOB (shortness of breath) documents the client’s reported breathing difficulty and tachypnea aligning with pneumonia symptoms. R/O (rule out) is for tentative diagnoses S/P (status post) indicates past procedures and DOB (date of birth) is unrelated.
Question 4 of 5
A client has had an uncomplicated repair of an inguinal hernia. On the second post operative day the client has mildly elevated temperature and general malaise. The nurse recognizes that this is a generalized body response which is common to which phase of healing?
Correct Answer: A
Rationale: Mild fever and malaise are typical during the inflammatory phase of healing (days 1-4) due to the body’s immune response to surgical trauma releasing cytokines. Proliferation (days 4-21) involves tissue repair remodeling (up to a year) strengthens tissue and infection would present with more severe symptoms like redness or pus not mild symptoms.
Question 5 of 5
The nurse is giving vancomycin to a client and must hold the dose until the results of the trough level are known. This term is associated with the point at which the:
Correct Answer: C
Rationale: Trough level refers to the lowest drug concentration in the blood before the next dose ensuring therapeutic levels without toxicity. It is not about half-life (related to elimination) toxicity or peak concentration which occurs shortly after administration.