ATI RN
ATI Nurs100102 Fundamentals Retake Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has a rectal temperature of 35°C (95°F). Which of the following actions should the nurse take?
Correct Answer: D
Rationale: A warming blanket treats hypothermia, unlike cooling the room, antipyretics, or fans.
Question 2 of 5
A nurse at an extended-care facility is instructing a class of assistive personnel (AP) about client use of assistive devices during ambulation. Which of the following instructions should the nurse give the APs about the clients use of a cane?
Correct Answer: C
Rationale: Moving the cane first provides stability, unlike weak-side hold, waist-level grip, or strong-leg-first movement.
Question 3 of 5
A nurse in an outpatient clinic is assessing a middle adult client as part of a routine physical examination. The client's BP is 142/88 mm Hg, his body mass index (BMI) is 31, and he is a current smoker. The nurse should identify that this client has multiple risk factors for which of the following disorders?
Correct Answer: B
Rationale: Hypertension, obesity, and smoking increase cardiovascular disease risk, unlike thyroid, testicular cancer, or depression.
Question 4 of 5
A nurse is caring for an older adult client. The nurse should recognize the client is at risk for which of the following physiological changes? (Select all that apply.)
Correct Answer: B,C,D
Rationale: Older adults experience higher pain thresholds, reduced skin elasticity, and slower gastric motility, not increased cardiac output or metabolism.
Question 5 of 5
A nurse is completing a client's history and physical examination. Which of the following information should the nurse consider subjective data?
Correct Answer: C
Rationale: Nausea is subjective, reported by the client, unlike objective blood pressure, cyanosis, or petechiae.