ATI RN
ATI Nurs100102 Fundamentals Retake Questions
Extract:
Question 1 of 5
A nurse is planning care for an older adult client who is at risk for developing pressure ulcers. Which of the following interventions should the nurse use to help maintain the integrity of the client's skin?
Correct Answer: B
Rationale: A transfer device reduces friction/shear, unlike massaging prominences, excessive bed elevation, or cornstarch (fungal risk).
Question 2 of 5
A nurse is removing personal protective equipment (PPE) after giving direct care to a client who requires isolation. Which of the following PPE items should the nurse remove first?
Correct Answer: D
Rationale: Gloves, being the most contaminated, are removed first to prevent spreading pathogens, unlike gown, face shield, or mask.
Question 3 of 5
A nurse is preparing a teaching plan for a client who is on neutropenic precautions as a result of radiation therapy. Which of the following should the nurse plan to include in the teaching?
Correct Answer: A
Rationale: Bottled water minimizes pathogen risk, unlike salad bars, soft-boiled eggs, or buffets, which increase infection risk.
Question 4 of 5
A nurse is assessing a client who is 48 hours postoperative following knee surgery. Which of the following findings should the nurse report to the provider?
Correct Answer: A
Rationale: Yellow-green drainage indicates infection, requiring reporting, unlike normal urine, BP, or respiration.
Question 5 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.