ATI RN
ATI Nursing 100 Day Exam 4 Fundamentals Questions
Extract:
Question 1 of 5
The nurse is administering an intramuscular injection to a 9 month old infant. What is the preferred injection site?
Correct Answer: D
Rationale: The vastus lateralis is the preferred IM site in infants due to its large muscle mass and low risk of nerve injury making it safe for injections. Gluteal maximus and ventral gluteal risk sciatic nerve damage and deltoid is underdeveloped in infants.
Question 2 of 5
The nurse is caring for a client who has been wearing a nitroglycerin patch and receives an order to start a nitroglycerin intravenous Infusion. The old patch must be removed from the client's body in order to avoid:
Correct Answer: C
Rationale: Removing the nitroglycerin patch prevents overdose as both patch and IV infusion deliver the drug systemically risking excessive vasodilation and hypotension. Skin irritation is a side effect interactions are not primary and patch loss is irrelevant when switching routes.
Question 3 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 4 of 5
The nurse enters a client's room to find that his abdominal wound has eviscerated. Which intervention should the nurse implement first?
Correct Answer: D
Rationale: Applying a sterile saline dressing protects eviscerated abdominal contents by keeping them moist and preventing infection until surgical intervention. Reverse Trendelenburg may increase protrusion antibiotics are secondary and replacing organs risks damage and is not a nursing action.
Question 5 of 5
The nurse notes that a diuretic is listed on the client's medication administration record (MAR). It is most important for the nurse to report to the physician a serum:
Correct Answer: B
Rationale: A low potassium level (3.2 mEq/L below normal 3.5-5.0 mEq/L) indicates hypokalemia a serious diuretic side effect risking arrhythmias and requiring immediate reporting. Normal sodium (135-145 mEq/L) hematocrit (38-50%) and chloride (95-105 mEq/L) levels are less urgent.