ATI RN
ATI Nurs100102 Fundamentals Retake Questions
Extract:
Question 1 of 5
A nurse is assisting with transferring a client from the bed to a wheelchair. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Locking wheels ensures stability, unlike 90-degree placement, nurse-comfort bed height, or excessive staff assistance.
Question 2 of 5
A nurse is measuring a client's oral temperature. The client informs the nurse that he has just eaten some ice chips. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Waiting 30 minutes ensures accurate temperature measurement, unlike warm water, documentation, or immediate measurement, which yield inaccurate results.
Question 3 of 5
A nurse is caring for a client and observes that the client's urine is dark amber, cloudy, and has an unpleasant odor. The nurse should recognize that these findings are associated with which of the following?
Correct Answer: D
Rationale: Dark, cloudy, odorous urine indicates a UTI, unlike frequency, incontinence, or retention.
Question 4 of 5
A nurse is caring for a client who has methicillin-resistant Staphylococcus aureus (MRSA) in an abdominal wound. The nurse enters the room to check the client's pulse. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Clean gloves prevent MRSA transmission during pulse checks, unlike sterile gloves, N95 masks, or eyewear.
Question 5 of 5
A nurse has completed an informed consent form with a client. The client then states, 'I have changed my mind and do not want to have the procedure done.' Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Notifying the surgeon respects client autonomy, unlike proceeding, claiming legal binding, or canceling without discussion.