ATI RN
ATI Nurs100102 Fundamentals Retake Questions
Extract:
Question 1 of 5
A nurse is assessing a client's circulatory system. Which of the following pulse sites should the nurse avoid assessing bilaterally at the same time?
Correct Answer: D
Rationale: Bilateral carotid assessment risks cerebral blood flow reduction, unlike femoral, popliteal, or brachial pulses.
Question 2 of 5
A nurse is providing hygiene care for a client who is immobile. Which of the following actions should the nurse take? (Select all that apply.)
Correct Answer: A,C,D
Rationale: Shaving with growth, checking items, and proper water temperature ensure safety; washing distal to proximal and weak-arm-first dressing are correct.
Question 3 of 5
The nurse is caring for a client who presented to the emergency room with BP of 138/90, HR of 110, O2 Sat of 95%, Temp of 38°C, and abdominal pain level of 7/10. Which of the above vital signs would the nurse address first?
Correct Answer: B
Rationale: Tachycardia (HR 110) indicates potential issues requiring immediate attention, unlike BP, normal O2, or mild fever.
Question 4 of 5
A nurse is caring for a client who receives intermittent enteral feedings through an NG tube. Before administering a feeding, the nurse should measure the gastric residual for which of the following purposes?
Correct Answer: A
Rationale: Measuring gastric residual identifies delayed emptying, reducing aspiration risk, unlike removing acid, assessing electrolytes, or confirming placement.
Question 5 of 5
A nurse is providing oral care for a client who is immobile. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Turning the client sideways prevents aspiration, unlike stiff brushes, petroleum jelly, or finger use, which risk harm.