ATI RN
ATI Nurs100102 Fundamentals Retake Questions
Extract:
Question 1 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 2 of 5
The nurse instructor is teaching student nurses about the factors that may affect a patient's blood pressure. Which statements accurately describe these factors? Select all that apply.
Correct Answer: A,C,D,E
Rationale: Age, morning surge, smoking, and hormonal changes increase blood pressure; postprandial hypotension is not typical.
Question 3 of 5
A nurse is admitting a client who has pertussis. Which of the following types of transmission-based precautions should the nurse initiate?
Correct Answer: B
Rationale: Droplet precautions prevent pertussis spread via respiratory droplets, unlike airborne, protective, or contact precautions.
Question 4 of 5
A nurse is planning care for an older adult client who is at risk for developing pressure ulcers. Which of the following interventions should the nurse use to help maintain the integrity of the client's skin?
Correct Answer: B
Rationale: A transfer device reduces friction/shear, unlike massaging prominences, excessive bed elevation, or cornstarch (fungal risk).
Question 5 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.