ATI RN
ATI Fundamentals Exam Nursing 100 Exam 3 Questions
Extract:
Question 1 of 5
The nurse is caring for a patient with a fractured left leg and is using crutches. Which statement indicates the patient has correct understanding of how to properly use her crutches?
Correct Answer: D
Rationale: Placing weight on the unaffected leg first when climbing stairs ensures balance and stability. Using the axilla risks nerve damage extended elbows reduce control and extending the uninjured leg when rising is incorrect.
Question 2 of 5
A nurse assessing a client notes that the client has a constant leakage of small amounts of urine and a bladder that is distended and palpable. The nurse should associate these findings with which of the following types of urinary incontinence?
Correct Answer: A
Rationale: Overflow incontinence involves constant leakage and a distended bladder due to incomplete emptying. Reflex is neurologic stress occurs with pressure and urge involves sudden voiding.
Question 3 of 5
Reflex incontinence is associated with neurologic dysfunction and occurs when no warning or stress precedes periodic involuntary urination.
Correct Answer: D
Rationale: Reflex incontinence is associated with neurologic dysfunction such as spinal cord injury causing involuntary urination without warning aligning with the description. Stress transient and total incontinence have different causes and characteristics.
Question 4 of 5
During the inspection of a client's abdomen,the nurse notes that it is visibly distended. The nurse should proceed with the client's abdominal assessment by next performing:
Correct Answer: C
Rationale: Auscultation is the next step after inspection to assess bowel sounds before palpation or percussion which could alter findings. This sequence ensures accurate assessment of abdominal distension.
Question 5 of 5
When measuring the size,depth,and wound tunneling of a client's stage 4 pressure injury what action should the nurse perform first?
Correct Answer: A
Rationale: Performing hand hygiene before wound care prevents infection and maintains aseptic technique preceding assessment or measurement steps.