ATI RN
ATI 110 Fundamentals Exam 1 Questions
Extract:
Question 1 of 5
A nurse is assessing a client for orthostatic hypotension. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: Baseline supine BP is taken first to compare with sitting and standing readings for orthostatic changes. Other steps follow.
Question 2 of 5
A nurse is teaching a class about sleep disorders. The nurse should include that which of the following conditions can cause obstructive sleep apnea (OSA)?
Correct Answer: D
Rationale: Enlarged tonsils obstruct the airway, causing OSA. Heart failure and brainstem injury cause central sleep apnea, and weight loss reduces OSA risk.
Question 3 of 5
A nurse is observing a newly licensed nurse perform hand hygiene. Which of the following actions by the newly licensed nurse indicates an understanding of the procedure?
Correct Answer: A
Rationale: Hands below elbows during rinsing prevent contamination by directing water flow downward. Hot water irritates skin, direct faucet contact recontaminates, and 20 seconds is required.
Question 4 of 5
A nurse is assessing a client who has had diarrhea for several days. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Prolonged diarrhea causes significant fluid and electrolyte loss, leading to dehydration, characterized by dry mucous membranes, poor skin turgor, and low urine output. Rigid abdomen suggests peritonitis, hypothermia is unrelated, and diarrhea typically increases bowel sounds.
Question 5 of 5
A nurse is reviewing a fall risk assessment for a client. Which of the following findings places the client at risk for a fall? Select all that apply.
Correct Answer: A,D,E
Rationale: Cords and rugs are tripping hazards, and macular degeneration impairs vision, increasing fall risk. Canes and grab bars reduce risk.