ATI RN
ATI Nurs100102 Fundamentals Retake Questions
Extract:
Question 1 of 5
A nurse is providing oral care for a client who is immobile. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Turning the client sideways prevents aspiration, unlike stiff brushes, petroleum jelly, or finger use, which risk harm.
Question 2 of 5
A nurse is caring for a client who receives intermittent enteral feedings through an NG tube. Before administering a feeding, the nurse should measure the gastric residual for which of the following purposes?
Correct Answer: A
Rationale: Measuring gastric residual identifies delayed emptying, reducing aspiration risk, unlike removing acid, assessing electrolytes, or confirming placement.
Question 3 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 4 of 5
A nurse is caring for a client who has hypernatremia and requires IV fluid therapy due to his NPO status. Which of the following solutions should the nurse prepare to infuse for this client?
Correct Answer: C
Rationale: 0.45% sodium chloride dilutes sodium levels, unlike hypertonic dextrose/saline, Ringer’s, or dextrose solutions.
Question 5 of 5
A nurse is caring for a client who is receiving oxygen therapy via a nasal cannula. The nurse explains to the client that this method of oxygen delivery does which of the following?
Correct Answer: D
Rationale: Nasal cannulas deliver low-concentration oxygen, not restricting activities, constant rates, or high concentrations.