ATI RN
ATI Fundamentals Exam Nursing 100 Exam 3 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is receiving heat applications using a heating pad. Which of the following actions should the nurse take when applying the pad?
Correct Answer: A
Rationale: If the client's skin becomes red the heat application should be stopped to prevent burns or skin damage. Prolonged application safety pins and high temperatures risk injury.
Question 2 of 5
A nurse applies padded boots to maintain the foot in dorsiflexion to a client who is comatose. The nurse is protecting the client from:
Correct Answer: B
Rationale: Applying padded boots for dorsiflexion helps prevent foot drop a condition where the foot is permanently in a plantar-flexed position which can lead to contractures. Decubitus ulcers require pressure relief pooling of blood is managed with positioning or compression and blood pressure changes are unrelated to dorsiflexion.
Question 3 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.
Question 4 of 5
A nurse is assisting a client during ambulation when the client begins to fall. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Lowering the client to the floor reduces fall distance and injury risk. Leaning toward the wall narrow stance or arm support are insufficient to prevent injury during a fall.
Question 5 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: Protein is crucial for wound healing providing building blocks for tissue repair. Calcium and vitamin D support bones and vitamin B1 aids metabolism but they are not primary for wounds.