a nurse is teaching a newly licensed nurse about the stages of wound healing the nurse should include in the teaching that collagen is added to the wo
Logo

Nursing Elites

ATI RN

ATI Exit Exam 2024

1. A nurse is teaching a newly licensed nurse about the stages of wound healing. The nurse should include in the teaching that collagen is added to the wound during which of the following stages?

Correct answer: C

Rationale: The correct answer is C: Proliferative phase. During the proliferative phase of wound healing, collagen is added to the wound to promote tissue regeneration. In the hemostasis phase (choice A), the primary goal is to stop bleeding by forming a blood clot. The inflammatory phase (choice B) involves cleaning the wound and preparing it for healing. The maturation phase (choice D) is when the wound undergoes remodeling and gains strength, but collagen addition primarily occurs during the proliferative phase.

2. A nurse is assessing a client who has a new diagnosis of diabetes mellitus. Which of the following findings should the nurse expect?

Correct answer: A

Rationale: Increased urinary output is a common finding in clients with diabetes mellitus due to hyperglycemia and osmotic diuresis. This results in the body trying to eliminate excess glucose through urine, leading to increased urinary frequency and volume. Weight gain is not typically associated with diabetes mellitus but may occur in poorly controlled cases due to increased calorie intake. Blurred vision is more commonly associated with acute complications like hyperglycemia or hypoglycemia. Diaphoresis, or excessive sweating, is not a typical finding in diabetes mellitus but can be seen in conditions like hypoglycemia.

3. When digitally evacuating stool from a client with a fecal impaction, what action should the nurse take?

Correct answer: A

Rationale: The correct action when digitally evacuating stool from a client with a fecal impaction is to insert a lubricated gloved finger and advance along the rectal wall. This technique helps prevent trauma to the client. Choice B is incorrect because stimulating peristalsis is not the appropriate action for digitally evacuating stool. Choice C is incorrect as applying pressure to the abdomen can be uncomfortable and ineffective. Choice D is also incorrect because increasing fluid intake is not directly related to the digital evacuation procedure.

4. A nurse is providing teaching to a client who has a new prescription for an albuterol inhaler. Which of the following instructions should the nurse include?

Correct answer: B

Rationale: The correct answer is B. Instructing the client to hold their breath for 10 seconds after inhaling the medication allows it to reach deeper into the lungs for maximum effectiveness. Choice A is incorrect because taking one puff every 5 minutes may lead to overuse of the medication. Choice C is incorrect as shaking the inhaler for only 2 seconds may not provide adequate mixing of the medication. Choice D is incorrect because exhaling forcefully after each puff may reduce the amount of medication that reaches the lungs.

5. A client with osteoporosis is being taught by a nurse about preventing bone loss. Which of the following instructions should the nurse include?

Correct answer: C

Rationale: The correct answer is C: 'Walk for 30 minutes 3 times per week.' Walking is a weight-bearing exercise that helps prevent bone loss and improve overall health in clients with osteoporosis. Option A is incorrect because while calcium is essential for bone health, simply taking a supplement is not sufficient for preventing bone loss. Option B is incorrect because weight-bearing exercises are actually beneficial for improving bone density and strength. Option D is incorrect because high-phosphorus foods do not play a significant role in preventing bone loss in osteoporosis.

Similar Questions

A nurse is caring for a client who has a prescription for furosemide. Which of the following findings should the nurse identify as an indication that the medication is effective?
A nurse is caring for a client who is 1 hour postpartum. Which of the following findings should the nurse report to the provider?
A healthcare provider is reviewing the laboratory report of a client with a prescription for digoxin. Which result requires withholding the medication?
A nurse is planning care for a client with thrombocytopenia. Which action should the nurse include?
A client is at risk for developing deep vein thrombosis (DVT). Which of the following actions should the nurse take?

Access More Features

ATI RN Basic
$69.99/ 30 days

  • 5,000 Questions with answers
  • All ATI courses Coverage
  • 30 days access

ATI RN Premium
$149.99/ 90 days

  • 5,000 Questions with answers
  • All ATI courses Coverage
  • 30 days access

Other Courses