ATI RN
ATI Nurs100102 Fundamentals Retake Questions
Extract:
Question 1 of 5
A nurse is assessing a client who has a pressure ulcer. The nurse should recognize which of the following findings is a manifestation of a stage 3 pressure ulcer?
Correct Answer: B
Rationale: Necrotic subcutaneous tissue indicates stage 3, extending through skin into subcutaneous tissue, unlike stage 2 (partial-thickness), stage 4 (exposed bone), or deep tissue injury (blisters).
Question 2 of 5
A nurse is caring for an older adult client who is at risk for skin breakdown. Which of the following interventions should the nurse use to help maintain the integrity of the client's skin?
Correct Answer: D
Rationale: A high-protein diet supports tissue repair, unlike cornstarch (fungal risk), 3-hour repositioning (insufficient), or massaging prominences (tissue trauma).
Question 3 of 5
A nurse is caring for an older adult client. The nurse should recognize the client is at risk for which of the following physiological changes? (Select all that apply.)
Correct Answer: B,C,D
Rationale: Older adults experience higher pain thresholds, reduced skin elasticity, and slower gastric motility, not increased cardiac output or metabolism.
Question 4 of 5
A nurse is assessing a client's circulatory system. Which of the following pulse sites should the nurse avoid assessing bilaterally at the same time?
Correct Answer: D
Rationale: Bilateral carotid assessment risks cerebral blood flow reduction, unlike femoral, popliteal, or brachial pulses.
Question 5 of 5
A nurse should teach which of the following clients requiring crutches about how to use a three-point gait?
Correct Answer: C
Rationale: Three-point gait suits non-weight-bearing conditions like femur fractures, unlike full weight, partial weight, or paralysis.