ATI RN
ATI Nur 231 Fundamentals Exam Questions
Extract:
Question 1 of 5
A nurse is performing oral care for a client who is unconscious. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Turn the client to the side: Turning the client to the side is the best action as it helps prevent aspiration of secretions or fluids during oral care.
Question 2 of 5
What color and consistency would you expect serous drainage from a Jackson-Pratt (JP) drain to have?
Correct Answer: C
Rationale: Clear, watery fluid with a pale yellow tint: This describes serous drainage, which is typically light in color and has a watery consistency. Serous fluid is a normal finding in the early stages of wound healing, as it contains plasma and does not indicate infection or excessive bleeding.
Question 3 of 5
When preparing to move a patient in bed with the help of an assistant, which posture will both caregivers use to ensure their own safety?
Correct Answer: B
Rationale: Flex the hips and knees: This posture helps both caregivers maintain a low center of gravity and utilize their leg muscles for lifting and moving, which is essential for preventing injury. By bending at the hips and knees, caregivers can exert more force while reducing the strain on their backs, ensuring a safer transfer for both the patient and themselves.
Question 4 of 5
A nurse is caring for a client who is prescribed bedrest. The plan of care indicates that the client should perform isometric exercises every 2 hr. Which of the following actions should the nurse take as directed by the plan of care?
Correct Answer: D
Rationale: Instruct the client to tighten muscle groups for a short period, and then relax: This accurately describes isometric exercises, where the client contracts specific muscle groups (e.g., arms, legs, abdomen) without moving the joints. These exercises help maintain muscle strength and prevent atrophy while the client is on bedrest. The nurse should guide the client to perform these contractions for a few seconds, followed by relaxation, as directed by the plan of care.
Question 5 of 5
A nurse caring for a client who has an infected wound removes a dressing saturated with blood and purulent drainage. How should the nurse dispose of the dressing material?
Correct Answer: D
Rationale: Dispose of the dressing in a biohazardous waste container: This is the correct action. Biohazardous waste containers are specifically designed to safely dispose of materials that may be contaminated with blood, body fluids, or infectious agents. Proper disposal helps to prevent the spread of infection and ensures compliance with safety regulations in healthcare settings.