ATI RN
ATI Fundamentals Exam Nursing 100 Exam 3 Questions
Extract:
Question 1 of 5
A nurse is assessing a client who is experiencing complications due to immobility. Which of the following findings should the nurse expect? (Select All that Apply.)
Correct Answer: A,D,E
Rationale: Contractures atelectasis and pressure ulcers are complications of immobility due to muscle shortening reduced lung expansion and prolonged pressure. Diarrhea and polyuria are not typically related.
Question 2 of 5
The nurse is caring for a patient with a fractured left leg and is using crutches. Which statement indicates the patient has correct understanding of how to properly use her crutches?
Correct Answer: D
Rationale: Placing weight on the unaffected leg first when climbing stairs ensures balance and stability. Using the axilla risks nerve damage extended elbows reduce control and extending the uninjured leg when rising is incorrect.
Question 3 of 5
A nurse working in an emergency room is assessing a client who has a leg wound. The nurse notes a full-thickness wound with jagged edges and muscle tissue visible after a biking accident. The nurse should document this as which of the following types of wounds?
Correct Answer: D
Rationale: Unintentional open wounds from accidents like biking present with jagged edges and visible tissue. Closed wounds involve blunt trauma and intentional wounds are surgical.
Question 4 of 5
Reflex incontinence is associated with neurologic dysfunction and occurs when no warning or stress precedes periodic involuntary urination.
Correct Answer: D
Rationale: Reflex incontinence is associated with neurologic dysfunction such as spinal cord injury causing involuntary urination without warning aligning with the description. Stress transient and total incontinence have different causes and characteristics.
Question 5 of 5
A nurse is completing her physical assessment on her newly admitted patient. She is assessing the patient's skin and documenting her findings. How should she document the following wound?
Correct Answer: B
Rationale: Stage II pressure ulcers involve partial-thickness skin loss as depicted in the wound. Stage I is non-blanching erythema Stage III involves full-thickness loss with visible fat and Stage IV exposes muscle or bone. Yes