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ATI Nurs100102 Fundamentals Retake Questions

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Question 1 of 5

A nurse is caring for a client who is 1 day postoperative following gynecologic surgery and reports incisional pain. Which of the following actions should the nurse take first?

Correct Answer: C

Rationale: Rating pain assesses severity for intervention, unlike timing, vital signs, or repositioning, which follow assessment.

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 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.

Question 4 of 5

A nurse is caring for a client who has hypernatremia and requires IV fluid therapy due to his NPO status. Which of the following solutions should the nurse prepare to infuse for this client?

Correct Answer: C

Rationale: 0.45% sodium chloride dilutes sodium levels, unlike hypertonic dextrose/saline, Ringer’s, or dextrose solutions.

Question 5 of 5

A nurse is reinforcing teaching with a client about using transdermal patches at home. Which of the following statements should the nurse identify as an indication that the client understands the teaching?

Correct Answer: D

Rationale: Cleaning and drying ensures adhesion and absorption, unlike lotion, same-site application, or incomplete forearm placement.

Similar Questions

A nurse is providing hygiene care for a client who is immobile. Which of the following actions should the nurse take? (Select all that apply.)
A nurse just received a client from the emergency department, who presents to the floor with a history of stroke. He is admitted with left-sided weakness. His vital signs are to be monitored every 4 hours. On initial assessment at 0800 the client's blood pressure was noted to be 150/100. What priority action should the nurse do next?
A nurse is teaching a class of older adults about the expected physiologic changes of aging. Which of the following changes should the nurse include in the discussion? (Select all that apply.)
A nurse is caring for a client who requires cold applications with an ice bag to reduce the swelling and pain of an ankle injury. Which of the following actions should the nurse take?
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?

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