ATI RN
ATI Nurs 100 Fundamental Final Exam Questions
Extract:
Question 1 of 5
A nurse is assessing a patient with activity intolerance for possible orthostatic hypotension. Which finding will help confirm orthostatic hypotension?
Correct Answer: B
Rationale: A systolic drop of ≥20 mm Hg (130 to 110) confirms orthostatic hypotension. Other options show insufficient drops or increases.
Question 2 of 5
The nurse is caring for a patient with a healing Stage II pressure ulcer. The wound is clean and granulating. Which health care provider’s order will the nurse question?
Correct Answer: C
Rationale: Hydrogen peroxide damages granulating tissue, delaying healing.
Question 3 of 5
A small-bore feeding tube is placed. Which technique will the nurse use to best verify tube placement?
Correct Answer: B
Rationale: X-ray is the gold standard for confirming feeding tube placement, ensuring accurate positioning.
Question 4 of 5
A nurse is caring for a client who has a prescription for potassium chloride (KCL) 20 mEq PO daily. The nurse reviews the client’s most recent laboratory results and finds the client’s potassium level is 5.2 mEq/L. (Normal 3.5-5.0 mEq/L) Which action should the nurse take?
Correct Answer: C
Rationale: Omitting the dose prevents hyperkalemia in a client with elevated potassium.
Question 5 of 5
A nurse is teaching a client who has a history of falls about home safety. Which of the following statements should the nurse identify as an indication that the client understands the instructions?
Correct Answer: C
Rationale: A bath seat reduces fall risk during bathing, indicating understanding.