ATI RN
ATI Fundamentals Exam Nursing 100 Exam 3 Questions
Extract:
Question 1 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.
Question 2 of 5
A nurse is initiating a 24-hour urine collection for a client at home. What will be the first thing the nurse will ask the client to do at the beginning of the specimen collection?
Correct Answer: A
Rationale: Voiding and discarding the urine is the first step in a 24-hour urine collection to ensure that the collection starts with a fresh specimen clearing residual urine from the bladder. Adding the first void keeping urine warm or starting at a specific time are not initial steps.
Question 3 of 5
A client at a healthcare facility has been diagnosed with polyuria. How would the nurse describe the client's condition in the medical record?
Correct Answer: D
Rationale: Polyuria is characterized by greater than normal urinary volume often due to conditions like diabetes mellitus or diuretic use. Inadequate elimination refers to oliguria absence of urine is anuria and difficult voiding describes dysuria none of which match polyuria.
Question 4 of 5
A nurse is preparing to complete a digital removal of a fecal impaction. What statement indicates the nurse has an appropriate understanding of this procedure? (Select All that Apply.)
Correct Answer: B,C,E
Rationale: Using a lubricated finger clean (not sterile) gloves and side-lying position are correct. A physician’s order is typically needed but not selected and the mass is broken up not removed whole.
Question 5 of 5
A nurse is assisting a client who has received crutches in an urgent care center following a foot injury. Which of the following statements should the nurse identify as an indication that the client needs additional teaching?
Correct Answer: A,B
Rationale: Bearing weight on hands (not arms) and using unfit old crutches indicate incorrect technique and safety risks requiring further teaching. Spare tips and inspections are appropriate.