Questions 96

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ATI Nurs100102 Fundamentals Retake Questions

Extract:


Question 1 of 5

A nurse is caring for a client who sustained blood loss. Which of the following is a manifestation of hypovolemia?

Correct Answer: C

Rationale: Weak pulse indicates hypovolemia due to reduced blood volume, unlike decreased heart rate, increased blood pressure, or dyspnea (less specific).

Question 2 of 5

A nurse instructs a female client about collecting a midstream urine sample. Which of the following client statements indicates an understanding of the procedure?

Correct Answer: D

Rationale: Using the cleansing wipe from front to back prevents contamination from the anal area, ensuring a clean sample, unlike reusing wipes, partial urination alone, or cleaning the sterile container.

Question 3 of 5

A nurse is caring for a client who has a wound infection. Which of the following actions should the nurse take when obtaining a wound-drainage specimen for culture?

Correct Answer: C

Rationale: Saline cleansing removes contaminants without killing bacteria, unlike swabbing skin, antiseptic irrigation, or including intact skin.

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 helping an older adult client ambulate in the hallway for the first time since admission. The client has brought her standard walker from home. To ensure proper use of the walker and the safety of the client, which of the following actions should the nurse take?

Correct Answer: A

Rationale: Lifting and placing the walker ensures stability, unlike waist-level bar, walking in front, or leg-walker movement.

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