ATI RN
ATI Nur 231 Fundamentals Exam Questions
Extract:
Question 1 of 5
Which activity should the nurse implement to decrease shearing force on a client's stage II pressure injury?
Correct Answer: A
Rationale: Preventing the client from sliding in bed: This activity directly addresses shearing forces, which occur when the skin is pulled in one direction while the underlying tissues move in another.
Question 2 of 5
Which of the following is a benefit of negative pressure wound therapy (NPWT) for skin wounds?
Correct Answer: C
Rationale: Promotes wound healing by increasing blood flow to the wound: NPWT promotes wound healing by creating a negative pressure environment that helps draw excess fluid away from the wound, reduces edema, and stimulates blood flow to the area. This increased blood flow enhances the delivery of nutrients and oxygen necessary for the healing process, making this option correct.
Question 3 of 5
A nurse on the medical-surgical unit is conducting a fall risk assessment for four clients. The nurse should identify that which of the following clients is the greatest risk for a fall?
Correct Answer: B
Rationale: An older adult client who is confused and has urinary frequency: This client is at the greatest risk for a fall. Confusion can impair judgment and coordination, and urinary frequency can lead to hurried movements to the bathroom, increasing the likelihood of falls.
Question 4 of 5
A nurse is admitting a client who has hepatitis C. Which of the following precautions should the nurse implement?
Correct Answer: D
Rationale: Standard precautions are the foundation for infection control practices and are recommended for all patients, regardless of their diagnosis. This includes measures such as hand hygiene, using personal protective equipment (PPE) when necessary, and safe handling of potentially contaminated materials. Since hepatitis C is primarily transmitted through blood and body fluids, standard precautions are appropriate for caring for clients with this condition.
Question 5 of 5
A nurse is teaching a client who has a history of falls about home safety. Which of the following statements should the nurse identify as an indication that the client understands the instructions?
Correct Answer: D
Rationale: I will place a bath seat in my shower to use when I bathe: This statement indicates an understanding of safety measures to prevent falls while bathing. Using a bath seat can provide stability and allow the client to bathe safely while reducing the risk of slipping or losing balance in the shower.