ATI RN
ATI Nur 231 Fundamentals Exam Questions
Extract:
Question 1 of 5
What does a score of 6 on the Katz Index of Independence in Activities of Daily Living (ADLs) indicate?
Correct Answer: C
Rationale: Full independence in performing daily activities: A score of 6 on the Katz Index signifies that the individual can perform all six activities of daily living independently, demonstrating a high level of functional ability.
Question 2 of 5
A nurse is assessing a client who has a wrist restraint applied. For which of the following findings should the nurse loosen the restraint?
Correct Answer: C
Rationale: The client's hand is cool and pale: This finding is concerning and indicates potential impaired circulation due to the restraint being too tight. Loosening the restraint is essential in this case to restore circulation and prevent further complications.
Question 3 of 5
What color and consistency would you expect serous drainage from a Jackson-Pratt (JP) drain to have?
Correct Answer: C
Rationale: Clear, watery fluid with a pale yellow tint: This describes serous drainage, which is typically light in color and has a watery consistency. Serous fluid is a normal finding in the early stages of wound healing, as it contains plasma and does not indicate infection or excessive bleeding.
Question 4 of 5
A nurse is caring for a client who has methicillin-resistant Staphylococcus aureus (MRSA) in an abdominal wound. The nurse enters the room to check the client's pulse. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Wear clean gloves: Wearing clean gloves is the appropriate action when interacting with a client who has MRSA. This helps to prevent the transmission of bacteria and protects both the client and the nurse.
Question 5 of 5
A nurse is teaching a newly licensed nurse about ethical principles. Which of the following is an example of justice?
Correct Answer: D
Rationale: A nurse provides nonpharmacological pain interventions to each client equally: This action represents the principle of justice, which emphasizes fairness and equality in the distribution of resources and treatment among clients.