ATI RN
ATI N103N103 Fundamentals Final Exam Questions
Extract:
Question 1 of 5
A nurse is assessing a client's wound and notes there is slough present. What would be an appropriate intervention for this wound?
Correct Answer: C
Rationale: Debridement is the most appropriate intervention for a wound with slough, as it removes necrotic tissue to promote a clean wound bed and facilitate healing. Covering or leaving the wound alone risks infection and delayed healing, while cleaning alone is insufficient to remove slough.
Question 2 of 5
A client asks the nurse about a prescription for the antihistamine, diphenhydramine (Benadryl). The nurse should teach the client that this medication is contraindicated in clients who have a history of which condition?
Correct Answer: C
Rationale: Diphenhydramine is contraindicated in patients with glaucoma, particularly closed-angle glaucoma, due to its anticholinergic properties that can increase intraocular pressure, potentially worsening the condition. Asthma is not a strict contraindication, though caution is advised due to possible exacerbation of symptoms from airway drying. Hypertension may require cautious use, but it’s not contraindicated. Depression is not a contraindication, though sedation effects may need monitoring.
Question 3 of 5
A nurse is reviewing the arterial blood gas values for a client. The nurse should recognize that the values indicate which of the following acid-base imbalances? pH: 7.56 PaCO2: 55 mmHg HCO3: 33 mEq/L
Correct Answer: A
Rationale: pH 7.56 (high) and HCO3 33 mEq/L (high) indicate metabolic alkalosis with elevated PaCO2 (55 mmHg) suggesting respiratory compensation. Metabolic acidosis (
B) respiratory alkalosis (
C) and respiratory acidosis (
D) do not match the values.
Question 4 of 5
A nurse is teaching a class about palliative care. The nurse should include that which of the following is the focus of palliative care?
Correct Answer: B
Rationale: Palliative care focuses on controlling symptoms and providing comfort complementing other treatments to enhance quality of life. Prolonging life (
A) replacing treatments (
C) or curing illness (
D) are not its primary goals.
Question 5 of 5
A nurse is assisting a client who has received crutches in an urgent care center following a foot injury. Which statement would the nurse identify as an indication that the client needs additional education?
Correct Answer: C
Rationale: Bearing weight on axillas risks nerve damage; weight should be supported by arms/hands. Keeping spare tips (
A) inspecting crutches (
B) and using arms (
D) are correct practices.