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: The correct answer is D: Document this as an expected finding. A heart rate of 100/min is within the normal range for an adult. The nurse should document this finding in the client's medical record to reflect that the client has a normal heart rate. Calling the provider (choice
A) is unnecessary as the heart rate is normal. Preparing for a chest x-ray (choice
B) is not indicated based on the heart rate assessment. Asking another nurse to verify the heart rate (choice
C) is unnecessary as 100/min is a common normal heart rate.
Therefore, documenting the heart rate as expected is the appropriate action in this scenario.
Question 2 of 5
Correct Answer:
Rationale:
Question 3 of 5
Correct Answer:
Rationale:
Question 4 of 5
Correct Answer:
Rationale:
Question 5 of 5
Correct Answer:
Rationale: