ATI RN
ATI Fundamentals Exam Nursing 100 Exam 3 Questions
Extract:
Question 1 of 5
A nurse is initiating a 24-hour urine collection for a client at home. What will be the first thing the nurse will ask the client to do at the beginning of the specimen collection?
Correct Answer: A
Rationale: Voiding and discarding the urine is the first step in a 24-hour urine collection to ensure that the collection starts with a fresh specimen clearing residual urine from the bladder. Adding the first void keeping urine warm or starting at a specific time are not initial steps.
Question 2 of 5
A nurse assessing a client notes that the client has a constant leakage of small amounts of urine and a bladder that is distended and palpable. The nurse should associate these findings with which of the following types of urinary incontinence?
Correct Answer: A
Rationale: Overflow incontinence involves constant leakage and a distended bladder due to incomplete emptying. Reflex is neurologic stress occurs with pressure and urge involves sudden voiding.
Question 3 of 5
A nurse is assessing a client who has a wound that is healing by first intention. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Wound healing by first intention involves the approximation of wound edges often closed with sutures resulting in minimal scarring. Contamination granulation tissue and prolonged healing are characteristic of second intention healing.
Question 4 of 5
A nurse caring for a postoperative client observes the drainage in the client's closed wound drainage system. The drainage is thin with a pale pink-yellow color. The nurse documents the drainage as:
Correct Answer: D
Rationale: Serosanguineous drainage is thin and pale pink-yellow a mix of serous and sanguineous components. Purulent is thick and opaque serous is clear and sanguineous is bright red.
Question 5 of 5
Reflex incontinence is associated with neurologic dysfunction and occurs when no warning or stress precedes periodic involuntary urination.
Correct Answer: D
Rationale: Reflex incontinence is associated with neurologic dysfunction such as spinal cord injury causing involuntary urination without warning aligning with the description. Stress transient and total incontinence have different causes and characteristics.