ATI RN
ATI Fundamentals Exam Nursing 100 Exam 3 Questions
Extract:
Question 1 of 5
A nurse is completing her physical assessment on her newly admitted patient. She is assessing the patient's skin and documenting her findings. How should she document the following wound?
Correct Answer: B
Rationale: Stage II pressure ulcers involve partial-thickness skin loss as depicted in the wound. Stage I is non-blanching erythema Stage III involves full-thickness loss with visible fat and Stage IV exposes muscle or bone. Yes
Question 2 of 5
After teaching the client about measures to prevent urinary tract infections,the nurse determines that the education was successful when the client makes which statement?
Correct Answer: A
Rationale: Voiding after sexual intercourse helps flush microorganisms from the urethra reducing UTI risk. Snug pants create a moist environment wiping anus to vagina introduces bacteria and bubble baths disrupt natural flora all increasing UTI risk.
Question 3 of 5
The nurse uses gait belts when assisting clients to ambulate. Which client would be a likely candidate for this assistive device?
Correct Answer: B
Rationale: A client with leg strength who can cooperate with movement is a likely candidate for a gait belt. This device provides support and stability during ambulation. Clients confined to bedrest do not ambulate and those with thoracic or abdominal incisions may not need a gait belt unless mobility issues are present.
Question 4 of 5
A nurse is preparing to complete a digital removal of a fecal impaction. What statement indicates the nurse has an appropriate understanding of this procedure? (Select All that Apply.)
Correct Answer: B,C,E
Rationale: Using a lubricated finger clean (not sterile) gloves and side-lying position are correct. A physician’s order is typically needed but not selected and the mass is broken up not removed whole.
Question 5 of 5
A nurse is providing education for an older adult client who reports constipation. Which of the following instructions should the nurse include in the teaching?
Correct Answer: C
Rationale: Drinking four to five glasses of water daily supports hydration and bowel function preventing constipation. Raw vegetables may be hard to digest limiting activity worsens constipation and bearing down risks complications.