ATI RN
ATI Nurs100102 Fundamentals Retake Questions
Extract:
Question 1 of 5
A nurse is reviewing the laboratory results of a client who has a pressure ulcer. The nurse should identify an elevation in which of the following laboratory values as an indication that the client has developed an infection?
Correct Answer: C
Rationale: Elevated WBC count indicates infection, unlike BUN (kidney), RBC (anemia), or potassium (electrolytes).
Question 2 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 3 of 5
A nurse has completed an informed consent form with a client. The client then states, 'I have changed my mind and do not want to have the procedure done.' Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Notifying the surgeon respects client autonomy, unlike proceeding, claiming legal binding, or canceling without discussion.
Question 4 of 5
A nurse is teaching a client who has left hemiparesis how to use a cane. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: Holding the cane on the right supports the weak left leg, unlike 24-inch steps, advancing right leg, or removing the tip.
Question 5 of 5
A nurse is teaching a new group of assistive personnel (AP) about the importance of hand hygiene. Which of the following statements should the nurse include?
Correct Answer: D
Rationale: Rubbing with alcohol for 20-30 seconds ensures pathogen elimination, unlike assuming no infection, skipping hand washing with gloves, or using alcohol on soiled hands.