ATI RN
ATI Fundamentals Exam Nursing 100 Exam 3 Questions
Extract:
Question 1 of 5
When moving a client up in bed with the assistance of another caregiver,the nurse should:
Correct Answer: B
Rationale: Having the client fold their arms across the chest helps protect the arms and reduces the risk of injury during the move. It also stabilizes the client. Elevating the bed risks sliding consulting the plan of care is unrelated and a pillow is not necessary for moving.
Question 2 of 5
A nurse is assessing a client who has a wound that is healing by first intention. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Wound healing by first intention involves the approximation of wound edges often closed with sutures resulting in minimal scarring. Contamination granulation tissue and prolonged healing are characteristic of second intention healing.
Question 3 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 4 of 5
A nurse is assisting a client during ambulation when the client begins to fall. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Lowering the client to the floor reduces fall distance and injury risk. Leaning toward the wall narrow stance or arm support are insufficient to prevent injury during a fall.
Question 5 of 5
A nurse is completing her physical assessment on her newly admitted patient. She is assessing the patient's skin and documenting her findings. How should she document the following wound?
Correct Answer: B
Rationale: Stage II pressure ulcers involve partial-thickness skin loss as depicted in the wound. Stage I is non-blanching erythema Stage III involves full-thickness loss with visible fat and Stage IV exposes muscle or bone. Yes