ATI RN
ATI Nurs100102 Fundamentals Retake Questions
Extract:
Question 1 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 2 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 3 of 5
An assistive personnel (AP) reports a client's vital signs as tympanic temperature 37.1°C (98.8°F), pulse 92/min, respiratory rate 18/min, and BP 98/58 mm Hg. Which of the following vital signs should the nurse re-measure?
Correct Answer: C
Rationale: Low BP (98/58) warrants re-measurement to confirm hypotension, unlike normal temperature, pulse, or respiration.
Question 4 of 5
A nurse is developing a plan of care for a client who has a stage 3 pressure ulcer. Which of the following interventions should the nurse include in the plan?
Correct Answer: C
Rationale: Repositioning every 2 hours relieves pressure, unlike heat lamps, massaging, or hydrogen peroxide (damages tissue).
Question 5 of 5
A nurse is assisting with transferring a client from the bed to a wheelchair. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Locking wheels ensures stability, unlike 90-degree placement, nurse-comfort bed height, or excessive staff assistance.