ATI RN
ATI Fundamentals Exam Nursing 100 Exam 3 Questions
Extract:
Question 1 of 5
A nurse is assessing bowel sounds on post-operative day 2 abdominal surgery patients. He does not hear bowel sounds. What should the nurse conclude about his findings?
Correct Answer: A
Rationale: The absence of bowel sounds on post-operative day 2 may indicate paralytic ileus a temporary impairment of bowel motility lasting 3-5 days common after abdominal surgery. Itβs not normal for all patients and while abnormal if prolonged notification depends on clinical context.
Question 2 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
Question 3 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 4 of 5
A nurse assessing a client notes that the client has a constant leakage of small amounts of urine and a bladder that is distended and palpable. The nurse should associate these findings with which of the following types of urinary incontinence?
Correct Answer: A
Rationale: Overflow incontinence involves constant leakage and a distended bladder due to incomplete emptying. Reflex is neurologic stress occurs with pressure and urge involves sudden voiding.
Question 5 of 5
The nurse is caring for a client with a wound from a biking accident. She assesses the wound and notices that the surrounding skin is very red and warm. The wound looks swollen and is draining a green like drainage. The nurse would recognize these symptoms would be a sign of what?
Correct Answer: B
Rationale: Redness warmth swelling and green drainage are indicative of infection caused by bacterial proliferation. Anemia affects blood wound healing shows granulation and necrosis involves dead tissue without these signs.