ATI RN
ATI Fundamentals Exam Nursing 100 Exam 3 Questions
Extract:
Question 1 of 5
A nurse caring for a postoperative client observes the drainage in the client's closed wound drainage system. The drainage is thin with a pale pink-yellow color. The nurse documents the drainage as:
Correct Answer: D
Rationale: Serosanguineous drainage is thin and pale pink-yellow a mix of serous and sanguineous components. Purulent is thick and opaque serous is clear and sanguineous is bright red.
Question 2 of 5
A nurse is assessing a client who has a wound that is healing by first intention. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Wound healing by first intention involves the approximation of wound edges often closed with sutures resulting in minimal scarring. Contamination granulation tissue and prolonged healing are characteristic of second intention healing.
Question 3 of 5
A nurse is caring for a client who has urinary incontinence. Which of the following actions should the nurse implement to prevent the development of skin breakdown?
Correct Answer: B
Rationale: Applying a moisture barrier ointment protects the skin from urine preventing breakdown. Catheters are invasive hot water irritates skin and 8-hour checks are insufficient for prevention.
Question 4 of 5
A nurse is caring for a client and observes that the client's urine is dark amber,cloudy and has an unpleasant odor. The nurse should recognize that these findings are associated with which of the following?
Correct Answer: A
Rationale: Dark amber cloudy and unpleasant-smelling urine indicate a urinary tract infection due to bacterial growth. Retention incontinence and frequency do not typically cause these urine characteristics.
Question 5 of 5
A client 80 years of age experienced dysphagia (impaired swallowing) in the weeks following a recent stroke,but the care team wishes to now begin introducing minced and pureed food. How should the nurse best position the client?
Correct Answer: B
Rationale: Semi-Fowlers positioning with the head of the bed elevated at a 30 to 45 degree angle is recommended for clients with dysphagia to prevent aspiration and promote effective swallowing. Supine increases aspiration risk and Low-Fowlers or Fowlers are less optimal for swallowing safety.