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ATI N103N103 Fundamentals Final Exam Questions

Extract:


Question 1 of 5

A nurse accidentally sticks her hand with a needle after administering an intramuscular (IM) injection to a client. Which action should the nurse take first?

Correct Answer: A

Rationale: Washing the puncture site with soap and water immediately reduces the risk of infection and bloodborne pathogen transmission per CDC guidelines. Notifying employee health (
B) completing an incident report (
C) and reporting to the charge nurse (
D) are important but follow initial first aid.

Question 2 of 5

A nurse is preparing to administer vitamin K by IM injection to a newborn. The nurse should administer the medication into which muscle?

Correct Answer: C

Rationale: The vastus lateralis is the preferred IM injection site in newborns due to its well-developed muscle and distance from major nerves/vessels. Gastrocnemius (
A) and dorsogluteal (
B) are unsafe and ventrogluteal (
D) is used in older children/adults.

Question 3 of 5

A nurse is assessing a client who is receiving a unit of packed RBCs. The client appears flushed and reports low-back pain. After stopping the transfusion, which intervention is important to complete FIRST?

Correct Answer: D

Rationale: Keeping the IV line open with 0.9% normal saline through new tubing is the first priority to maintain access for emergency treatments. This ensures hydration and readiness for medications, preceding provider notification, blood bank reporting, or urine collection.

Question 4 of 5

A nurse is teaching a client who is taking medication before bedtime. The nurse should include the following instructions:

Correct Answer: B

Rationale: Taking medication with a full glass of water ensures proper absorption and reduces esophageal irritation. The other options are incorrect as they depend on specific medication requirements or falsely assume side effects like abdominal pain.

Question 5 of 5

A nurse is teaching a client who has left-sided weakness after a stroke on how to use a cane. What instructions should the nurse include?

Correct Answer: A

Rationale: Holding the cane on the right side supports the weaker left leg, enhancing balance. Advancing the strong leg with the cane, removing the rubber tip, or placing the cane too far ahead reduces stability.

Similar Questions

A nurse is preparing an educational program about client confidentiality. The nurse should explain that nurses may share a client's protected health information with which individuals?
A nurse is caring for a client with chronic obstructive pulmonary disease (COPD). The nurse positions the client in the orthopneic position. What is the primary reason for the use of this position for this client?
A primary health care provider orders chest physiotherapy with percussion and vibration for a client. After the health care provider leaves, the client says, 'I still don't understand the purpose of this therapy.' Which statement should be included in the nurse's response?
A nurse is rounding on a client with bilateral wrist restraints. Which finding would warrant the nurse to loosen the restraints?
A nurse is assessing a client’s cranial nerves. Which methods should the nurse use to assess cranial nerve V?

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