ATI RN
ATI Nursing 100 Day Exam 4 Fundamentals Questions
Extract:
Question 1 of 5
The best way for the nurse to assess a client's level of dyspnea is to:
Correct Answer: B
Rationale: Observing dyspnea at rest and during activity provides a comprehensive assessment of respiratory distress by noting changes in breathing patterns effort and symptoms. Documentation offers historical data subjective reports may be unreliable and lung sounds assess lung function not dyspnea severity directly.
Question 2 of 5
When doing the client's skin assessment the nurse notes a 3 cm area of partial thickness skin loss that looks like a blister on the client's sacral area. The nurse consults the wound care nurse who stages the wound as a pressure ulcer.
Correct Answer: B
Rationale: Partial thickness skin loss appearing as a blister indicates a Stage II pressure ulcer involving the epidermis and dermis. Stage I is intact skin with redness Stage III involves full-thickness loss and Stage IV includes deep tissue damage like muscle or bone.
Question 3 of 5
The nurse is administering medications to a group of clients. Which client(s) warrant(s) the nurse's special attention when considering pharmacokinetics?
Correct Answer: A,E
Rationale: Renal impairment affects drug excretion and liver failure alters metabolism both significantly impacting pharmacokinetics by changing drug clearance and activation. Muscle sprains hearing impairment and localized vaginal infections have minimal systemic effects on drug processing.
Question 4 of 5
The nurse recognizes that the application of heat therapy is appropriate for which client? The client who:
Correct Answer: C
Rationale: Heat therapy relaxes muscles and reduces pain in calf spasms by increasing blood flow and oxygen delivery promoting healing. It is contraindicated for bleeding (increases blood flow) impaired sensation (risks burns) and active inflammation (worsens swelling and infection risk).
Question 5 of 5
Chest physiotherapy (CPT) is ordered for a client with pneumonia. The nurse knows that the primary purpose of CPT for this client is to:
Correct Answer: C
Rationale: CPT loosens secretions in pneumonia by using percussion and vibration to mobilize mucus clearing airways and improving ventilation. Deeper inhalations and ciliary movement are secondary benefits and CPT does not propel oxygen but aids gas exchange by clearing obstructions.