ATI RN
ATI N103N103 Fundamentals Final Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has a stage I pressure ulcer. Which of the following dressings should the nurse plan to apply?
Correct Answer: C
Rationale: Transparent dressings protect stage I pressure ulcers from friction/shear while allowing observation maintaining a moist healing environment. Alginate (
A) is for exudative wounds hydrogel (
B) for dry wounds and wet-to-dry gauze (
D) for debridement none of which apply to stage I ulcers.
Question 2 of 5
A nurse is caring for a client who has a Jackson-Pratt (JP) drain in place after surgery for an abdominal wound. The nurse should understand that the JP drain was placed for which purpose?
Correct Answer: D
Rationale: The primary purpose of a Jackson-Pratt (JP) drain is to prevent fluid from accumulating in the wound, including blood and lymphatic fluid, which reduces the risk of infection and promotes healing. It is not used for medication administration, does not eliminate the need for dressings, and while it may help manage bleeding, its main role is fluid removal.
Question 3 of 5
A primary health care provider orders chest physiotherapy with percussion and vibration for a client. After the health care provider leaves, the client says, 'I still don't understand the purpose of this therapy.' Which statement should be included in the nurse's response?
Correct Answer: C
Rationale: Chest physiotherapy loosens and mobilizes secretions to clear airways, aiding conditions like COPD or pneumonia. It doesn’t direct secretions to the lung base, eliminate coughing, or limit mucus production.
Question 4 of 5
A nurse is caring for a client who has pneumonia and a prescription for oxygen therapy at 5 L/min via nasal cannula. Which action should the nurse take?
Correct Answer: B
Rationale: Attaching a humidifier bottle prevents nasal dryness from high-flow oxygen, enhancing comfort and effectiveness. Securing tubing to the bed risks dislodgement, petroleum jelly is flammable, and removing the cannula interrupts critical oxygen delivery.
Question 5 of 5
A nurse is preparing an educational program about client confidentiality. The nurse should explain that nurses may share a client's protected health information with which individuals?
Correct Answer: C
Rationale: Health care team members involved in the client’s care can access protected health information under HIPAA to ensure safe treatment. Sharing with family, administrators, or clergy requires client consent or a specific need, which is not automatic.