ATI RN
ATI Nursing 100 Day Exam 4 Fundamentals Questions
Extract:
Question 1 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 performing stage is where a group functions at its highest level with effective problem-solving and productivity. Forming involves initial introductions where members are polite and cautious storming includes conflict as members assert roles and norming establishes cohesion and norms but these stages do not reflect the high functionality and problem-solving described in the question.
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
The nurse knows that teaching about the use of the spirometer incentive is effective when the client seals the lips around the mouthpiece and:
Correct Answer: A
Rationale: Inhaling slowly to raise the ball and holding it promotes lung expansion and prevents atelectasis which is the correct incentive spirometer technique to improve ventilation and prevent postoperative complications. Exhaling or rapid forceful inspiration does not achieve sustained lung expansion and blowing into the device is incorrect as it is designed for inhalation.
Question 4 of 5
When doing the client's skin assessment the nurse notes a 3 cm area of partial thickness skin loss that looks like a blister on the client's sacral area. The nurse consults the wound care nurse who stages the wound as a pressure ulcer.
Correct Answer: B
Rationale: Partial thickness skin loss appearing as a blister indicates a Stage II pressure ulcer involving the epidermis and dermis. Stage I is intact skin with redness Stage III involves full-thickness loss and Stage IV includes deep tissue damage like muscle or bone.
Question 5 of 5
A client is diagnosed with chronic constipation. The nurse is given an order by the physician to administer a glycerin suppository. What abbreviation will be written in the physician's order for the administration route for the suppository?
Correct Answer: D
Rationale: PR (per rectum) is the correct abbreviation for rectal administration of a glycerin suppository as it specifies the route. S/P (status post) indicates past events RS is not a standard abbreviation and R is ambiguous.