ATI Fundamentals Final 2024 Exam Question With Complete Solutions

A nurse is collecting data on a client who has impaired mobility. The nurse should monitor the client for a pressure injury due to which of the following? A. Decreased circulation B. Increased collagen C. Increased muscle mass D. Decreased serum calcium - ANSWER-A:Decreased circulation A nurse is contributing to the plan of care for a client who has urinary incontinence. The nurse recommends monitoring the client for which of the following findings? A. Dermatitis B. Hypoglycemia C. Fluid volume overload D. Kidney stones - ANSWER-A: Dermatitis A nurse is caring for a group of clients. Which of the following clients should the nurse identify is at highest risk for developing a pressure injury? A. A client whose alert and responsive & eats 25% of each meal B. A client who is unresponsive to verbal commands & changes positions occasionally C. A client who is receiving eternal feeding and can change positions independently D. A client who makes frequent slight changes in positions and walks occasionally - ANSWER-B:A client who is unresponsive to verbal commands & change positions occasionally A nurse is assisting with the care of a client who has a wound the requires negative pressure wound therapy. Which of the following should the nurse take? A. Cover the client's wound with an alginate dressing. B. Expect the inner dressing to expand after the vacuum pump is initiated C. Shave hair on the client's skin surrounding the wound. D. Cut a round hole in the center of the outer dressing - ANSWER-D: Cut a hole around in the center of the outer dressing