ATI RN
ATI Nur 231 Fundamentals Exam Questions
Extract:
Question 1 of 5
A patient is found to have a broken skin on his coccyx that has black eschar covering the base of the wound. How is this wound staged?
Correct Answer: D
Rationale: Unstageable: A wound is considered unstageable when there is full-thickness skin loss and the base of the wound is covered with necrotic tissue (eschar) or slough, making it impossible to determine the depth and true stage of the ulcer.
Question 2 of 5
Which form of communication is the nurse using when interviewing the patient during the admission health history and physical assessment?
Correct Answer: A
Rationale: Interpersonal: The nurse is engaging in interpersonal communication during the admission health history and physical assessment. This form of communication occurs between two individuals and involves a direct exchange of information.
Question 3 of 5
A nurse on the medical-surgical unit is conducting a fall risk assessment for four clients. The nurse should identify that which of the following clients is the greatest risk for a fall?
Correct Answer: B
Rationale: An older adult client who is confused and has urinary frequency: This client is at the greatest risk for a fall. Confusion can impair judgment and coordination, and urinary frequency can lead to hurried movements to the bathroom, increasing the likelihood of falls.
Question 4 of 5
Which of the following is a benefit of negative pressure wound therapy (NPWT) for skin wounds?
Correct Answer: C
Rationale: Promotes wound healing by increasing blood flow to the wound: NPWT promotes wound healing by creating a negative pressure environment that helps draw excess fluid away from the wound, reduces edema, and stimulates blood flow to the area. This increased blood flow enhances the delivery of nutrients and oxygen necessary for the healing process, making this option correct.
Question 5 of 5
A nurse is removing personal protective equipment (PPE) after giving direct care to a client who requires isolation. Which of the following PPE items should the nurse remove first?
Correct Answer: D
Rationale: Gloves: Gloves should be the first item removed when taking off personal protective equipment. This is because gloves are the most likely to be contaminated with infectious materials. Removing them first minimizes the risk of transferring pathogens to other areas of the body or clothing during the process of doffing PPE.