ATI RN
ATI Nurs 100 Fundamental Final Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is 2 days postoperative following abdominal surgery and observes that the client’s wound has eviscerated. After calling for help, which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Covering with moist sterile dressing protects eviscerated organs.
Question 2 of 5
A nurse is assessing a client who has a wrist restraint applied. For which of the following findings should the nurse loosen the restraint?
Correct Answer: B
Rationale: Cold and pale hand indicates impaired circulation, requiring restraint loosening.
Question 3 of 5
A nurse is developing a plan of care for a client who has a stage pressure ulcer. Which of the following interventions should the nurse include in the plan?
Correct Answer: A
Rationale: Repositioning every 2 hours relieves pressure and prevents further ulcers.
Question 4 of 5
A nurse is preparing an adolescent client who has pneumonia for percussion, vibration, and postural drainage. Prior to the procedure, which nursing action should the nurse complete first?
Correct Answer: B
Rationale: Assessing pulse and respirations establishes a baseline for monitoring during the procedure.
Question 5 of 5
A nurse is providing discharge teaching for a client who has pulmonary edema and is about to start taking furosemide. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: Furosemide causes potassium loss; potassium-rich foods prevent hypokalemia.