ATI RN
ATI Nurs 100 Fundamentals Quiz Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has a wound infection. Which of the following actions should the nurse take when obtaining a wound-drainage specimen for culture?
Correct Answer: C
Rationale: Cleansing with 0.9% sodium chloride removes contaminants without altering the bacterial culture.
Question 2 of 5
The nurse is caring for a patient with a wound. The patient appears anxious as the nurse is preparing to change the dressing. Which action should the nurse take?
Correct Answer: D
Rationale: Explaining the procedure reduces anxiety by informing the patient, promoting trust and understanding.
Question 3 of 5
A nurse is assessing a client who has had staples removed from an abdominal wound postoperatively. The nurse notes a wide separation of the wound edges with light serosanguineous drainage. Which of the following actions should the nurse perform first?
Correct Answer: A
Rationale: Covering the wound with a moist, sterile dressing prevents contamination and stabilizes the area, taking priority.
Question 4 of 5
A nurse is planning care for an older adult client who is at risk for developing pressure ulcers. Which of the following interventions should the nurse use to help maintain the integrity of the client's skin?
Correct Answer: C
Rationale: Lifting rather than pulling reduces friction and shearing, preventing skin breakdown.
Question 5 of 5
A nurse is developing a plan of care to prevent skin breakdown for a client with a spinal cord injury and paralysis. Which of the following nursing actions are appropriate? (Select all that apply.)
Correct Answer: D,E
Rationale: Using pillows to keep heels off the bed and minimizing moisture exposure prevent pressure ulcers and skin breakdown.