ATI RN
ATI Fundamental Exams Questions
Extract:
Question 1 of 5
A nurse is caring for a postoperative patient. Which finding will alert the nurse to a potential wound dehiscence?
Correct Answer: B
Rationale: A patient reporting 'something has given way' is a significant indicator of potential wound dehiscence, as it suggests partial or complete separation of surgical wound layers. Chronic drainage may indicate infection or poor healing, purulent drainage suggests infection, and protrusion of organs indicates evisceration, a later stage of dehiscence, not an early warning sign.
Question 2 of 5
A nurse is caring for four hospitalized clients. Which of the following clients should the nurse identify as being at risk for fluid volume deficit?
Correct Answer: B
Rationale: Gastroenteritis with fever causes fluid loss via vomiting, diarrhea, and sweating, increasing fluid volume deficit risk. Renal failure and heart failure cause fluid excess, and brief NPO status is less severe.
Question 3 of 5
A nurse in a long-term care facility is observing an assistant personnel (AP) changing the linen for a client who has fecal incontinence. Which of the following actions indicates that the AP understands the principles of infection control?
Correct Answer: B
Rationale: Placing clean linen that touched the floor in the soiled linen bag prevents cross-contamination and maintains cleanliness. It adheres to infection control standards by ensuring that only soiled items are disposed of appropriately. Placing soiled linen on the floor increases the risk of spreading pathogens. Holding soiled linen against the body risks transferring pathogens to the caregiver’s clothing. Shaking soiled linen disperses infectious particles, increasing contamination risk.
Question 4 of 5
A home health nurse is teaching about endotracheal suctioning. Which of the following information should the nurse include in the teaching?
Correct Answer: A,C
Rationale: Resting 10-15 seconds between suctioning prevents hypoxemia and airway trauma. Suctioning less than 10 seconds minimizes hypoxemia and mucosal damage. Suction pressure should be 80-120 mm Hg, individualized. Suction during insertion increases trauma risk.
Question 5 of 5
A nurse is assessing a client who has obstructive sleep apnea. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Morning headaches are common in obstructive sleep apnea due to intermittent hypoxia and hypercapnia. Nausea, hypotension, and constipation are not typical findings.