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: The correct answer is B: Heart rate 110 beats per minute. The nurse should address the elevated heart rate first as it indicates tachycardia, which can be a sign of distress or inadequate oxygenation. High heart rate can lead to decreased cardiac output and poor tissue perfusion. Addressing this vital sign promptly is crucial to prevent further complications. The other vital signs are within acceptable range for now and can be addressed after stabilizing the heart rate. Blood pressure, oxygen saturation, and temperature are important but not as immediately life-threatening as an elevated heart rate in this scenario.
Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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