ATI Fundamentals Proctored |Medical Care |Exam
2025|134 Questions With Verified Accurate Solutions
1. A patient receiving chemotherapy via IV develops swelling and redness
at the infusion site. As a nurse, what steps should you take to assess and
manage the situation, considering the risk of extravasation?
Continue the infusion and monitor for any changes.
Stop the infusion immediately, assess the site, and notify the
physician.
Apply a warm compress and document the findings.
Change the IV site and resume the infusion at a different location.
2. __________ is red-tinged pus. It indicates that small vessels in the wound area
have ruptured.
Purosanguineous exudate
Purulent Exudate
Serosanguineous Drainage
Serous Drainage
3. Explain the significance of identifying multi-drug resistant organisms in
patients with respiratory infections.
They are less likely to respond to standard treatments, increasing
the risk of complications.
They are always fatal and require immediate isolation.
They are easily treated with over-the-counter medications.
They do not affect the treatment plan for respiratory infections.
4. Pain Quality (in looking at Pain Assessment) can be described
,as: aching
dull
, stabbing
all of the above
5. In a situation where a nurse is also a family member of a patient, what
type of conflict might arise, and how should the nurse address it to
ensure
quality care?
Role conflict; the nurse should prioritize their professional duties
over personal feelings.
Role conflict; the nurse should avoid any involvement in the
patient's care.
Role ambiguity; the nurse should seek clarification from the family.
Role overload; the nurse should delegate all responsibilities to
other staff.
6. What is one effective coping strategy mentioned in the text for
managing stress within a family?
Engaging in physical exercise
Talking with other family members
Seeking professional therapy
Avoiding discussions about stress
7. A patient presents with a wound that is draining a fluid that is watery
and blood-tinged. Based on your knowledge of wound drainage types,
what would be the most appropriate nursing action?
Document the drainage as purulent and prepare for possible
infection.
Assess the wound for signs of healing and continue monitoring.
Notify the physician as this may indicate a complication.
Change the dressing and apply a topical antibiotic immediately.
, 8. What term is used to describe the mixed drainage of pus and blood in a
medical context?
Serous
Sanguineous
Purulent
Purosanguineous
9. What is the recommended position for a patient receiving NG tube feeding
through an open system to minimize the risk of aspiration?
Flat on their back
Head of the bed elevated at least 30 degrees
Sitting upright at a 90-degree angle
Head of the bed elevated at least 15 degrees
10. A patient in the post-operative unit refuses to use the incentive
spirometer despite encouragement. After assessing the patient, you
discover they are experiencing pain. What is the most appropriate next
step?
Document the refusal and move on
Administer pain medication and encourage spirometer use again
Call for a physician to evaluate the patient
Suggest an alternative breathing exercise
11. A patient has a postoperative wound that is draining significantly. If
the dressing weighs 50 grams more than the original weight, how
much
drainage has occurred in milliliters?
25 mL
50 mL
75 mL
2025|134 Questions With Verified Accurate Solutions
1. A patient receiving chemotherapy via IV develops swelling and redness
at the infusion site. As a nurse, what steps should you take to assess and
manage the situation, considering the risk of extravasation?
Continue the infusion and monitor for any changes.
Stop the infusion immediately, assess the site, and notify the
physician.
Apply a warm compress and document the findings.
Change the IV site and resume the infusion at a different location.
2. __________ is red-tinged pus. It indicates that small vessels in the wound area
have ruptured.
Purosanguineous exudate
Purulent Exudate
Serosanguineous Drainage
Serous Drainage
3. Explain the significance of identifying multi-drug resistant organisms in
patients with respiratory infections.
They are less likely to respond to standard treatments, increasing
the risk of complications.
They are always fatal and require immediate isolation.
They are easily treated with over-the-counter medications.
They do not affect the treatment plan for respiratory infections.
4. Pain Quality (in looking at Pain Assessment) can be described
,as: aching
dull
, stabbing
all of the above
5. In a situation where a nurse is also a family member of a patient, what
type of conflict might arise, and how should the nurse address it to
ensure
quality care?
Role conflict; the nurse should prioritize their professional duties
over personal feelings.
Role conflict; the nurse should avoid any involvement in the
patient's care.
Role ambiguity; the nurse should seek clarification from the family.
Role overload; the nurse should delegate all responsibilities to
other staff.
6. What is one effective coping strategy mentioned in the text for
managing stress within a family?
Engaging in physical exercise
Talking with other family members
Seeking professional therapy
Avoiding discussions about stress
7. A patient presents with a wound that is draining a fluid that is watery
and blood-tinged. Based on your knowledge of wound drainage types,
what would be the most appropriate nursing action?
Document the drainage as purulent and prepare for possible
infection.
Assess the wound for signs of healing and continue monitoring.
Notify the physician as this may indicate a complication.
Change the dressing and apply a topical antibiotic immediately.
, 8. What term is used to describe the mixed drainage of pus and blood in a
medical context?
Serous
Sanguineous
Purulent
Purosanguineous
9. What is the recommended position for a patient receiving NG tube feeding
through an open system to minimize the risk of aspiration?
Flat on their back
Head of the bed elevated at least 30 degrees
Sitting upright at a 90-degree angle
Head of the bed elevated at least 15 degrees
10. A patient in the post-operative unit refuses to use the incentive
spirometer despite encouragement. After assessing the patient, you
discover they are experiencing pain. What is the most appropriate next
step?
Document the refusal and move on
Administer pain medication and encourage spirometer use again
Call for a physician to evaluate the patient
Suggest an alternative breathing exercise
11. A patient has a postoperative wound that is draining significantly. If
the dressing weighs 50 grams more than the original weight, how
much
drainage has occurred in milliliters?
25 mL
50 mL
75 mL
