Questions 79

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ATI N103N103 Fundamentals Final Exam Questions

Question 1 of 5

A nurse is preparing to administer oral medications to a client. According to the Joint Commission which are acceptable client identifiers? (Select all that apply.)

Correct Answer: A,D

Rationale: The Joint Commission identifies the client’s full name and date of birth as acceptable identifiers due to their uniqueness. Photograph identification (
B) is not standard and room number (
C) is unreliable as it may change.

Question 2 of 5

A nurse received a prescription to administer a medication NOW to a client. Which action should the nurse take?

Correct Answer: A

Rationale: A NOW order requires prompt administration within 90 minutes, ensuring timely treatment without the urgency of a STAT order. Scheduled, interval, or symptom-based administration does not apply.

Question 3 of 5

A nurse is caring for a client with an opioid overdose. The nurse should identify the client is at risk for which acid-base imbalance?

Correct Answer: B

Rationale: Opioid overdose causes hypoventilation leading to CO2 retention and respiratory acidosis (low pH high PaCO2). Metabolic acidosis (
A) respiratory alkalosis (
C) and metabolic alkalosis (
D) are unrelated to hypoventilation.

Question 4 of 5

A nurse is assessing a client who has chronic insomnia. Which question would address the highest safety priority for the client?

Correct Answer: C

Rationale: Asking about difficulty staying awake while driving addresses the critical safety risk of accidents due to daytime sleepiness from insomnia. Other questions are relevant but less urgent.

Question 5 of 5

A nurse is caring for a client who has returned to the unit following a surgical procedure of the abdomen. The client is complaining of pain 6/10. On assessment, the client's oxygen saturation is 85%. Which action should the nurse take first?

Correct Answer: D

Rationale: Administering oxygen at 2 L/min addresses the critical hypoxemia (85% saturation) to prevent further complications. Pain management and positioning follow after stabilizing oxygenation.

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