ATI RN
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ATI Nursing 100 Day Exam 4 Fundamentals Questions
Extract:
Question
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1 of 5
The client has had a surgical debridement of a wound which is starting to heal. In order to further promote healing this client should be encouraged to consume a balanced diet with emphasis on increased:
Correct Answer: B
Rationale: Vitamin C is essential for collagen synthesis and wound healing as it supports tissue repair and immune function. Carbohydrates provide energy but are not specific to healing calcium aids bone health and vitamin E’s antioxidant role is less critical for wounds.
Question 2 of 5
In order to minimize discomfort when giving an injection to a client the nurse should:
Correct Answer: A
Rationale: Spreading the skin taut reduces discomfort by minimizing needle puncture sensation and stabilizing the tissue for smoother insertion. Applying heat is not standard holding the syringe still ensures accuracy not comfort and blood return checks are for specific injections not pain reduction.
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
A client must receive eyedrops bilaterally four times a day. The medication should be dropped onto which of the following areas?
Correct Answer: D
Rationale: The lower conjunctival sac is the appropriate site for eyedrops as it allows the medication to pool and be absorbed effectively while minimizing corneal irritation or systemic absorption. Dropping onto the sclera (outer or inner canthus) is less effective and may cause discomfort and the cornea is sensitive and prone to injury if directly targeted.
Question 5 of 5
A nursing instructor is observing a nursing student prepare and administer medications to adult clients. Which action by the nursing student requires intervention by the Instructor?
Correct Answer: B
Rationale: Buccal medications are placed between the cheek and gum to dissolve slowly not under the tongue which is for sublingual administration risking incorrect absorption. Injecting air into vials pouring 2 tsp (10 mL) of Robitussin and using a 1 mL syringe for heparin are correct techniques.