ATI RN
ATI Nurs 112 Fundamentals of Nursing Exam Questions
Extract:
Question 1 of 5
The nurse delegates vital signs for a patient to the nurse assistant. What is the nurse's responsibility regarding delegation of this task?
Correct Answer: A
Rationale: The nurse must review delegated vital signs promptly to interpret and act on findings, retaining accountability for the task.
Question 2 of 5
The unlicensed assistive personnel (UAP) recorded the vital signs of four clients. Which client needs immediate nursing intervention?
Correct Answer: C
Rationale: Client D’s bradycardia, bradypnea, hypotension, and low O2 saturation (<90%) indicate critical distress, requiring immediate intervention.
Question 3 of 5
You have delegated vital signs to the assistive personnel. The assistant informs you that the patient has just finished a bowl of hot soup. The nurse's most appropriate advice would be to
Correct Answer: A
Rationale: Wait 30 minutes after hot soup to ensure accurate oral temperature, as food/drink can skew readings.
Question 4 of 5
A nurse is assessing the pulse of a client and has difficulty feeling the pulse. What would she do next?
Correct Answer: B
Rationale: Use a Doppler to confirm blood flow if a pulse is hard to palpate, ensuring accurate assessment before documenting or reporting.
Question 5 of 5
A patient's blood pressure suddenly drops from 132/82 to 104/52. The nurse notes that the patient's skin is pale and the patient appears ready to faint. What is the priority action of the nurse?
Correct Answer: B
Rationale: Check carotid pulse to assess perfusion in a hypotensive patient at risk of fainting, indicating possible shock.