ATI RN
ATI Nurs100102 Fundamentals Retake Questions
Extract:
Question 1 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 2 of 5
A nurse is caring for a client who has an NG tube. The nurse tests the pH of the secretions to determine if the tube is correctly placed. Which of the following readings should the nurse expect?
Correct Answer: A
Rationale: pH 1-4 confirms gastric placement, unlike 5-7 (respiratory/intestine), 8-10, or 11-14 (not typical).
Question 3 of 5
A nurse is preparing a sterile field. Which of the following actions should the nurse identify as contaminating the field?
Correct Answer: D
Rationale: Opening a package over the sterile field risks contamination from non-sterile packaging, unlike waist-level holding, dressing placement, or proper tray opening.
Question 4 of 5
A nurse is completing a client's history and physical examination. Which of the following information should the nurse consider subjective data?
Correct Answer: C
Rationale: Nausea is subjective, reported by the client, unlike objective blood pressure, cyanosis, or petechiae.
Question 5 of 5
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?
Correct Answer: C
Rationale: Repeating the blood pressure confirms accuracy, unlike pulse/temperature checks, UAP delegation, or premature medication administration.