ATI RN
ATI N103N103 Fundamentals Final Exam Questions
Extract:
Question 1 of 5
A client has an order for continuous bladder irrigation. What should the nurse do with the irrigation solution on the intake and output (I&O) sheet when calculating the fluid balance for this client?
Correct Answer: A
Rationale: Deducting irrigation solution from urine output ensures accurate measurement of true urine production, as the irrigation fluid is not part of the client’s urine.
Question 2 of 5
A nurse is performing tracheostomy care for a client and suctioning to remove secretions. Which of the following actions should the nurse take FIRST?
Correct Answer: C
Rationale: Preoxygenation with 100% oxygen prevents hypoxia during suctioning which temporarily reduces oxygen levels. Lubricating the catheter (
A) chest physiotherapy (
B) and suctioning passes (
D) are subsequent steps.
Question 3 of 5
A nurse is confirming with the client the informed consent signed earlier that day. The client then states, 'I have changed my mind and do not want to have the procedure done.' What action should the nurse take?
Correct Answer: B
Rationale: Notifying the surgeon respects the client’s autonomy to withdraw consent, allowing further discussion or cancellation. Consent is not legally binding, and proceeding or cancelling without surgeon input is inappropriate.
Question 4 of 5
A nurse is assessing a client's wound and notes there is slough present. What would be an appropriate intervention for this wound?
Correct Answer: C
Rationale: Debridement is the most appropriate intervention for a wound with slough, as it removes necrotic tissue to promote a clean wound bed and facilitate healing. Covering or leaving the wound alone risks infection and delayed healing, while cleaning alone is insufficient to remove slough.
Question 5 of 5
An employee health nurse is providing education on how nurses can prevent back and joint injury. Which techniques minimize this risk of injury on the job?
Correct Answer: A,B,C,D
Rationale: Using good body mechanics (
A) minimizes strain during lifting. Proper posture (
B) reduces spinal stress. Assistive devices (
C) like lifts reduce physical strain. Staying physically fit (
D) enhances strength and flexibility. All techniques prevent back/joint injuries.