ATI RN
ATI Nursing 100 Day Exam 4 Fundamentals Questions
Extract:
Question 1 of 5
A client must receive eyedrops bilaterally four times a day. The medication should be dropped onto which of the following areas?
Correct Answer: D
Rationale: The lower conjunctival sac is the appropriate site for eyedrops as it allows the medication to pool and be absorbed effectively while minimizing corneal irritation or systemic absorption. Dropping onto the sclera (outer or inner canthus) is less effective and may cause discomfort and the cornea is sensitive and prone to injury if directly targeted.
Question 2 of 5
The nurse misreads the medication Kardex and administers twice the amount of antihypertensive medication that was ordered for the client. When she realizes the mistake her first action should be to:
Correct Answer: C
Rationale: Checking blood pressure assesses the client’s response to the overdose (e.g. hypotension) prioritizing safety and guiding further actions. Notifying the physician or manager and filing a report are important but follow after ensuring client stability.
Question 3 of 5
The nurse is administering medications to a group of clients. Which client(s) warrant(s) the nurse's special attention when considering pharmacokinetics?
Correct Answer: A,E
Rationale: Renal impairment affects drug excretion and liver failure alters metabolism both significantly impacting pharmacokinetics by changing drug clearance and activation. Muscle sprains hearing impairment and localized vaginal infections have minimal systemic effects on drug processing.
Question 4 of 5
A client is admitted to the hospital with a diagnosis of R/O appendicitis. Which abbreviation would describe the location of a client's appendix?
Correct Answer: A
Rationale: The appendix is located in the right lower quadrant (RLQ) of the abdomen making RLQ the correct abbreviation. The right upper quadrant (RUQ) contains the liver and gallbladder the left upper quadrant (LUQ) includes the stomach and spleen and the left lower quadrant (LLQ) houses parts of the colon none of which are the appendix’s location.
Question 5 of 5
A one-day post-operative client complains of severe abdominal pain and has shallow respirations at 22/minute. The client is reluctant to perform coughing and deep breathing. Based on the data the priority problem that the nurse could assign to this patient is:
Correct Answer: B
Rationale: Shallow respirations and reluctance to cough indicate an ineffective breathing pattern risking atelectasis and pneumonia due to pain limiting deep breathing. Ineffective gas exchange may result but is secondary activity intolerance is less urgent and no data supports decreased cardiac function.