ATI RN
ATI Nurs100102 Fundamentals Retake Questions
Extract:
Question 1 of 5
A nurse is assessing a client's radial pulse and determines that the pulse is irregular. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Assessing the apical pulse for a minute confirms irregular rhythm, unlike pedal pulses or Doppler use.
Question 2 of 5
A nurse instructs a female client about collecting a midstream urine sample. Which of the following client statements indicates an understanding of the procedure?
Correct Answer: D
Rationale: Using the cleansing wipe from front to back prevents contamination from the anal area, ensuring a clean sample, unlike reusing wipes, partial urination alone, or cleaning the sterile container.
Question 3 of 5
A nurse has just finished a wound irrigation for a client who requires contact precautions. Which of the following pieces of personal protective equipment (PPE) should the nurse remove last?
Correct Answer: C
Rationale: The mask is removed last to avoid inhaling contaminants, unlike gloves (first), gown, or face shield.
Question 4 of 5
A nurse is caring for an immunocompromised client on chemotherapy. The family would like to visit. What teaching should the nurse provide to the family regarding protective isolation?
Correct Answer: B
Rationale: Refraining from flowers reduces infection risk, unlike fruit baskets, sick visitors, or unnecessary N95 masks.
Question 5 of 5
A nurse is caring for a client and auscultates an apical heart rate of 100/min. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: A heart rate of 100/min is within normal limits, requiring documentation, not provider calls, x-rays, or verification.