ATI RN
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ATI Nursing 100 Day Exam 4 Fundamentals Questions
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Question
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1 of 5
An adult client is to receive ear drops four times a day to treat an inner ear infection. What is the correct nursing procedure to follow when administering this type of medication?
Correct Answer: C
Rationale: Pulling the auricle up and back straightens the ear canal in adults for effective ear drop administration ensuring medication reaches the inner ear. Down and back is for children pulling the earlobe post-instillation is unnecessary and microwaving risks burns.
Question 2 of 5
The nurse is caring for a client who is at high risk for development of pressure injury. The client is able to move independently but has been placed on bedrest. The client has experienced two episodes of urinary incontinence. Which intervention(s) should the nurse include in the care plan?
Correct Answer: A,D,E
Rationale: Shifting weight every 15 minutes reduces pressure on bony prominences moisture barrier cream protects against incontinence-related skin breakdown and a specialty mattress distributes pressure to prevent ulcers. Raising the bed at 45 degrees increases shear and massaging prominences risks tissue damage.
Question 3 of 5
A client has had an uncomplicated repair of an inguinal hernia. On the second post operative day the client has mildly elevated temperature and general malaise. The nurse recognizes that this is a generalized body response which is common to which phase of healing?
Correct Answer: A
Rationale: Mild fever and malaise are typical during the inflammatory phase of healing (days 1-4) due to the body’s immune response to surgical trauma releasing cytokines. Proliferation (days 4-21) involves tissue repair remodeling (up to a year) strengthens tissue and infection would present with more severe symptoms like redness or pus not mild symptoms.
Question 4 of 5
The nurse has applied a topical agent to the client's skin and then applies an ice pack to the area. This is done to:
Correct Answer: B
Rationale: An ice pack slows topical drug absorption by causing vasoconstriction which reduces blood flow to the area allowing prolonged local action of the medication. It is not primarily used for comfort as cooling may not always reduce discomfort. Drug excretion is not affected by topical ice and maximizing distribution would require increased blood flow not reduction.
Question 5 of 5
The nurse is preparing an Injection of 10 units of regular Insulin and 5 units of NPH insulin from two vials. The nurse should:
Correct Answer: B
Rationale: Injecting air into both vials (NPH first then regular) and withdrawing regular insulin first prevents NPH contamination in the regular insulin vial ensuring accurate dosing. Other sequences risk mixing insulins or incorrect dosing affecting glycemic control.