ATI RN
ATI Nur 231 Fundamentals Exam Questions
Extract:
Question 1 of 5
Which of the following factors could present a barrier to the nurse effectively communicating with the client? Select all that apply.
Correct Answer: A,B,C,D
Rationale: Client's hearing deficit: The client’s hearing loss poses a significant barrier to effective communication. Volume of the client's television: A loud television creates distracting background noise. Numerous visitors in the client's room: Having multiple visitors can create distractions and noise. Increase in pain after ambulation: The reported increase in pain can affect the client’s focus and engagement in communication.
Question 2 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 3 of 5
A patient is found to have a broken skin on his coccyx that has black eschar covering the base of the wound. How is this wound staged?
Correct Answer: D
Rationale: Unstageable: A wound is considered unstageable when there is full-thickness skin loss and the base of the wound is covered with necrotic tissue (eschar) or slough, making it impossible to determine the depth and true stage of the ulcer.
Question 4 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.
Question 5 of 5
In a clinical setting, a patient with a chronic wound is scheduled for debridement. Which of the following is the primary purpose of wound debridement?
Correct Answer: B
Rationale:
To remove necrotic tissue to promote healing: The primary purpose of wound debridement is to remove necrotic (dead) or devitalized tissue from the wound bed. This process promotes healing by creating a clean wound environment, facilitating granulation tissue formation, and reducing the risk of infection, making this option the most accurate.