ATI RN
ATI Nurs100102 Fundamentals Retake Questions
Extract:
Question 1 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.
Question 2 of 5
A nurse is caring for a client who requires droplet precautions. Which of the following personal protective equipment should the nurse wear when setting up the client's meal tray?
Correct Answer: A
Rationale: A mask prevents droplet transmission during meal setup, unlike gloves, goggles, or gowns (unless contact risk).
Question 3 of 5
A nurse is completing an 8-hour I&O record for a client who consumed 4 oz juice, 6 oz tea, a 100 mL cup full of ice chips, an IV bolus of 150 mL, and 8 oz broth. The nurse should record how many mL of intake on the client's record?
Correct Answer: 740 mL
Rationale: 4 oz juice (120 mL), 6 oz tea (180 mL), 100 mL ice chips (50 mL melted), 150 mL bolus, 8 oz broth (240 mL) total 740 mL.
Question 4 of 5
A nurse is assessing a client who has a heart rate of 115. Which of the following is the medical term?
Correct Answer: C
Rationale: Tachycardia describes a heart rate over 100, unlike pallor, bradypnea, or somnolence.
Question 5 of 5
A nurse is caring for a client who has an NG tube. The nurse tests the pH of the secretions to determine if the tube is correctly placed. Which of the following readings should the nurse expect?
Correct Answer: A
Rationale: pH 1-4 confirms gastric placement, unlike 5-7 (respiratory/intestine), 8-10, or 11-14 (not typical).