ATI RN
ATI Nursing 100 Day Exam 4 Fundamentals Questions
Extract:
Question 1 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 2 of 5
The nurse recognizes that the application of heat therapy is appropriate for which client? The client who:
Correct Answer: C
Rationale: Heat therapy relaxes muscles and reduces pain in calf spasms by increasing blood flow and oxygen delivery promoting healing. It is contraindicated for bleeding (increases blood flow) impaired sensation (risks burns) and active inflammation (worsens swelling and infection risk).
Question 3 of 5
A nurse is admitting a patient who has a DTI (deep tissue injury) to the hospital. The nurse understands that a DTI:
Correct Answer: A
Rationale: DTI results from pressure or shear (tissue layers sliding) causing deep tissue damage often under intact skin. Dressing frequency varies by wound overhydration does not cause DTI and it is not partial thickness but involves deeper layers like muscle or fat.
Question 4 of 5
Which one of the following blood levels would provide the nurse with the most information about the ability of the client's blood to transport oxygen? The:
Correct Answer: D
Rationale: Hemoglobin carries oxygen in the blood binding it in red blood cells making its level the best indicator of oxygen transport capacity. Carbon dioxide is exhaled surfactant aids lung compliance and bicarbonate regulates pH none directly affect oxygen transport.
Question 5 of 5
Chest physiotherapy (CPT) is ordered for a client with pneumonia. The nurse knows that the primary purpose of CPT for this client is to:
Correct Answer: C
Rationale: CPT loosens secretions in pneumonia by using percussion and vibration to mobilize mucus clearing airways and improving ventilation. Deeper inhalations and ciliary movement are secondary benefits and CPT does not propel oxygen but aids gas exchange by clearing obstructions.