ATI RN
ATI Nurs100102 Fundamentals Retake Questions
Extract:
Question 1 of 5
The nurse is caring for a client who presented to the emergency room with BP of 138/90, HR of 110, O2 Sat of 95%, Temp of 38°C, and abdominal pain level of 7/10. Which of the above vital signs would the nurse address first?
Correct Answer: B
Rationale: Tachycardia (HR 110) indicates potential issues requiring immediate attention, unlike BP, normal O2, or mild fever.
Question 2 of 5
A nurse is assessing a client who is 48 hours postoperative following knee surgery. Which of the following findings should the nurse report to the provider?
Correct Answer: A
Rationale: Yellow-green drainage indicates infection, requiring reporting, unlike normal urine, BP, or respiration.
Question 3 of 5
A nurse is preparing to assist a client who can partially bear weight and is cooperative with transfer from the bed to a chair. Which of the following actions should the nurse take to maintain safety during the transfer?
Correct Answer: C
Rationale: A powered standing-assist lift ensures safe transfer for partial weight-bearing, unlike extra staff, avoiding spine twists, or bed height alone.
Question 4 of 5
A nurse is caring for a client who has active pulmonary tuberculosis (TB). The client requires airborne precautions and is receiving multidrug therapy. Which of the following precautions should the nurse take to transport the client safely to the radiology department for a chest x-ray?
Correct Answer: A
Rationale: A mask on the client contains TB droplets, unlike notifications, nurse PPE, or portable x-rays (less practical).
Question 5 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.