ATI RN
ATI Fundamentals Exam Nursing 100 Exam 3 Questions
Extract:
Question 1 of 5
A nurse is assisting a client who has received crutches in an urgent care center following a foot injury. Which of the following statements should the nurse identify as an indication that the client needs additional teaching?
Correct Answer: A,B
Rationale:
Correct
Answer: A, B
Rationale:
A: "I will bear the weight of my body on my hands." - Incorrect. The client should bear weight on the hand grips of the crutches, not directly on the hands.
B: "I have a set of my brother's old crutches in my basement I can also use." - Incorrect. Each individual should have crutches fitted to their specific height and needs for proper support and safety.
C: "I will keep spare crutch tips handy." - Correct. Keeping spare crutch tips can be helpful in case the current ones wear out.
D: "I will inspect my crutches every day for signs of wear." - Correct. Regular inspection of crutches is important to ensure they are safe for use.
Summary: Options A and B are incorrect as they indicate potential misuse or lack of proper fitting. Options C and D are correct as they emphasize good practices for crutch maintenance and safety.
Question 2 of 5
A nurse is teaching a client about the nutritional requirements necessary to promote wound healing. Which of the following nutrients should the nurse include in the teaching?
Correct Answer: C
Rationale: The correct answer is C: Protein. Protein is essential for wound healing as it plays a crucial role in tissue repair and regeneration. It provides the building blocks necessary for the body to create new cells and repair damaged tissues. Without an adequate intake of protein, the body may not have the necessary resources to heal wounds effectively.
Choice A: Calcium is important for bone health but does not directly promote wound healing.
Choice B: Vitamin B1 is important for energy metabolism but is not directly involved in wound healing.
Choice D: Vitamin D is important for bone health and immune function but is not directly related to wound healing.
Question 3 of 5
A nurse is teaching a client about the nutritional requirements necessary to promote wound healing. Which of the following nutrients should the nurse include in the teaching?
Correct Answer: C
Rationale: The correct answer is C: Protein. Protein is essential for wound healing as it helps in the formation of new tissues and collagen. Collagen is a key component in the wound healing process. Adequate protein intake also supports the immune system, which is crucial for fighting off infections during the healing process. Calcium (
A) is important for bone health but not directly involved in wound healing. Vitamin B1 (
B) and Vitamin D (
D) play important roles in overall health but are not specifically targeted for wound healing.
Question 4 of 5
A nurse is preparing to complete a digital removal of a fecal impaction. What statement indicates the nurse has an appropriate understanding of this procedure? (Select All that Apply.)
Correct Answer: B,C,E
Rationale: The correct answers are B, C, and E.
B: Using a lubricated index finger to break up the mass and remove it helps in dislodging the impaction without causing harm.
C: Sterile gloves are essential to prevent infection during the procedure.
E: Placing the patient in the side-lying position facilitates easier access to the rectum for the procedure.
A: A physician's order is not required for a nurse to perform a digital removal of a fecal impaction.
D: Trying to remove the mass as a whole can be painful and may not be feasible in all cases.
Question 5 of 5
A client comes to the emergency department with severe abdominal cramping and frequent bloody stools. Food poisoning is suspected. Which assessment techniques and diagnostic studies should the nurse use?
Correct Answer: D
Rationale: The correct answer is D: Bowel sounds and stool sample. This is because the client is presenting with severe abdominal cramping and bloody stools, indicating a gastrointestinal issue. Assessing bowel sounds can provide information on the motility and function of the intestines. A stool sample can help identify the presence of pathogens causing food poisoning.
Choice A is incorrect because lung sounds and chest x-ray are not relevant to the client's gastrointestinal symptoms.
Choice B is incorrect as routine urinalysis does not provide information on the gastrointestinal tract.
Choice C is incorrect as lung sounds and sputum sample are more related to respiratory issues.