ATI RN
ATI Fundamentals Exam Nursing 100 Exam 3 Questions
Extract:
Question 1 of 5
A nurse is teaching a client about the nutritional requirements necessary to promote wound healing. Which of the following nutrients should the nurse include in the teaching?
Correct Answer: C
Rationale: Protein is crucial for wound healing providing building blocks for tissue repair. Calcium and vitamin D support bones and vitamin B1 aids metabolism but they are not primary for wounds.
Question 2 of 5
Upon assessment of a client's wound,the nurse notes the formation of granulation tissue. The tissue bleeds easily when the nurse performs wound care. What is the phase of wound healing characterized by the nurse's assessment?
Correct Answer: D
Rationale: Granulation tissue formation and easy bleeding are characteristic of the proliferation phase involving tissue repair. Hemostasis controls bleeding inflammation removes debris and maturation remodels collagen.
Question 3 of 5
During the inspection of a client's abdomen,the nurse notes that it is visibly distended. The nurse should proceed with the client's abdominal assessment by next performing:
Correct Answer: C
Rationale: Auscultation is the next step after inspection to assess bowel sounds before palpation or percussion which could alter findings. This sequence ensures accurate assessment of abdominal distension.
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
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.