ATI RN
ATI 110 Fundamentals Exam 1 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has a Penrose drain. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: A perforated gauze pad absorbs drainage from a Penrose drain, maintaining a clean site. Cleaning outward, not inward, prevents infection; Penrose drains lack reservoirs or suction.
Question 2 of 5
A nurse is assessing a client who has an oral temperature of 39 C (102.27 F). Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Fever increases metabolic demand, causing tachycardia (108/min). Peripheral pulses increase, respiratory rate rises (not 10/min), and pupils are unaffected.
Question 3 of 5
A nurse is obtaining an oxygen saturation on a client. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: A finger with <2 sec capillary refill ensures good perfusion for accurate pulse oximetry. Waiting 10 sec is unnecessary, BP cuffs interfere, and relocating every 8 hrs isn’t routine.
Question 4 of 5
A nurse is teaching a newly licensed nurse about preventing puncture injuries. Which of the following instructions should the nurse include?
Correct Answer: D
Rationale: Replacing sharps containers at 3/4 full prevents overfilling injuries. Breaking needles, two-handed recapping, and wastebasket disposal are unsafe.
Question 5 of 5
A nurse is teaching a client about the Rinne test. Which of the following client statements indicates an understanding of the teaching?
Correct Answer: C
Rationale: The Rinne test uses a tuning fork on the mastoid and near the ear canal to compare conduction. Earphones, probes, and electrodes are unrelated.