ATI RN
ATI Nurs100102 Fundamentals Retake Questions
Extract:
Question 1 of 5
A nurse is caring for an older adult client who is at risk for skin breakdown. Which of the following interventions should the nurse use to help maintain the integrity of the client's skin?
Correct Answer: D
Rationale: A high-protein diet supports tissue repair, unlike cornstarch (fungal risk), 3-hour repositioning (insufficient), or massaging prominences (tissue trauma).
Question 2 of 5
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?
Correct Answer: 740 mL
Rationale: 4 oz juice (120 mL), 6 oz tea (180 mL), 100 mL ice chips (50 mL melted), 150 mL bolus, 8 oz broth (240 mL) total 740 mL.
Question 3 of 5
As part of an annual physical examination, a nurse is preparing a client to undergo a chest x-ray. Which of the following instructions should the nurse give the client prior to the procedure?
Correct Answer: A
Rationale: Removing metal necklaces prevents imaging artifacts, unlike shallow breaths, fasting, or expecting discomfort, which are incorrect for a chest x-ray.
Question 4 of 5
A nurse is admitting a client who requires droplet precautions due to influenza. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: A mask prevents influenza droplet transmission, unlike negative airflow, gowns, or HEPA filtration.
Question 5 of 5
A nurse is admitting a client who has a wound infected with vancomycin-resistant enterococci (VRE). Which of the following types of precautions should the nurse plan to initiate?
Correct Answer: C
Rationale: Contact precautions prevent VRE spread via direct/indirect contact, unlike airborne, protective, or droplet precautions.