ATI RN
ATI Nurs100102 Fundamentals Retake Questions
Extract:
Question 1 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.
Question 2 of 5
A nurse should teach which of the following clients requiring crutches about how to use a three-point gait?
Correct Answer: C
Rationale: Three-point gait suits non-weight-bearing conditions like femur fractures, unlike full weight, partial weight, or paralysis.
Question 3 of 5
A nurse is measuring a client's oral temperature. The client informs the nurse that he has just eaten some ice chips. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Waiting 30 minutes ensures accurate temperature measurement, unlike warm water, documentation, or immediate measurement, which yield inaccurate results.
Question 4 of 5
A nurse is preparing a client for outpatient surgery. After the nurse inserts the IV catheter, the client reports pain in the insertion area. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Removing and reinserting the catheter addresses pain from improper placement, unlike analgesics, central lines, or local anesthetics.
Question 5 of 5
A nurse is admitting a client who reports anorexia and is experiencing malnutrition. Which of the following laboratory findings should the nurse expect to be altered?
Correct Answer: D
Rationale: Low albumin reflects malnutrition, unlike troponin (cardiac), bilirubin (liver), or creatine kinase (muscle).