Questions 25

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ATI RN Test Bank

ATI Nurs 100 Fundamentals Quiz Questions

Extract:


Question 1 of 5

A nurse is reviewing the laboratory results of a client who has a pressure ulcer. The nurse should identify an elevation in which of the following laboratory values as an indication that the client has developed an infection?

Correct Answer: C

Rationale: Elevated WBC count indicates infection as the body produces more white blood cells to fight pathogens.

Question 2 of 5

A nurse is developing a plan of care to prevent skin breakdown for a client with a spinal cord injury and paralysis. Which of the following nursing actions are appropriate? (Select all that apply.)

Correct Answer: D,E

Rationale: Using pillows to keep heels off the bed and minimizing moisture exposure prevent pressure ulcers and skin breakdown.

Question 3 of 5

The nurse is completing an assessment of the patient's skin's integrity. Which assessment is the priority?

Correct Answer: A

Rationale: Pressure points are critical for assessing skin integrity, especially in immobile patients at risk for pressure ulcers.

Question 4 of 5

A nurse is teaching a client who has urinary incontinence about avoiding foods and beverages that can cause bladder irritation. The nurse should include that which of the following foods and beverages is a bladder irritant?

Correct Answer: A

Rationale: Caffeinated beverages exacerbate urinary incontinence by increasing bladder contractions.

Question 5 of 5

A nurse is reviewing the laboratory results of a client who has a pressure ulcer. The nurse should identify an elevation in which of the following laboratory values as an indication that the client has developed an infection?

Correct Answer: C

Rationale: Elevated WBC count indicates infection as the body produces more white blood cells to fight pathogens.

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