ATI RN
ATI Nurs100102 Fundamentals Retake Questions
Extract:
Question 1 of 5
A nurse is preparing to perform hand hygiene. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Applying 4 to 5 ml of soap ensures thorough cleaning, unlike holding hands high, rubbing to dry, or using hot water, which risk contamination or irritation.
Question 2 of 5
Before administering a medication to a client, the nurse must identify the client. Which of the following methods of identification should the nurse use?
Correct Answer: C
Rationale: Using name and date of birth ensures accurate identification, unlike family verification, MAR alone, or room number.
Question 3 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 4 of 5
A nurse is caring for an older adult client who was alert and oriented at admission, but now seems increasingly restless and intermittently confused. Which of the following actions should the nurse take to address the client's safety needs?
Correct Answer: B
Rationale: Closer monitoring near the nurses' station enhances safety, unlike restraints, sedation, or family reliance.
Question 5 of 5
The nurse is caring for a client who presented to the emergency room with BP of 138/90, HR of 110, O2 Sat of 95%, Temp of 38°C, and abdominal pain level of 7/10. Which of the above vital signs would the nurse address first?
Correct Answer: B
Rationale: Tachycardia (HR 110) indicates potential issues requiring immediate attention, unlike BP, normal O2, or mild fever.