ATI RN
ATI Nurs100102 Fundamentals Retake Questions
Extract:
Question 1 of 5
A nurse is teaching a client about crutch walking using the three-point gait. Which of the following statements by the nurse should be included in the teaching?
Correct Answer: A
Rationale: The three-point gait involves moving crutches and swinging past, unlike looking down, underarm weight, or alternate stepping.
Question 2 of 5
A nurse is helping an older adult client ambulate in the hallway for the first time since admission. The client has brought her standard walker from home. To ensure proper use of the walker and the safety of the client, which of the following actions should the nurse take?
Correct Answer: A
Rationale: Lifting and placing the walker ensures stability, unlike waist-level bar, walking in front, or leg-walker movement.
Question 3 of 5
A nurse is admitting a client who has a wound infected with vancomycin-resistant enterococci (VRE). Which of the following types of precautions should the nurse plan to initiate?
Correct Answer: C
Rationale: Contact precautions prevent VRE spread via direct/indirect contact, unlike airborne, protective, or droplet precautions.
Question 4 of 5
A nurse is caring for a client who sustained blood loss. Which of the following is a manifestation of hypovolemia?
Correct Answer: C
Rationale: Weak pulse indicates hypovolemia due to reduced blood volume, unlike decreased heart rate, increased blood pressure, or dyspnea (less specific).
Question 5 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.