ATI RN
ATI N103N103 Fundamentals Final Exam Questions
Extract:
Question 1 of 5
A nurse is assessing a client's peripheral IV during hourly rounding. The nurse notices the site has erythema, warmth, edema, and a red line traveling up the vessel. Which complication would the nurse identify this client has?
Correct Answer: A
Rationale: Thrombophlebitis is indicated by erythema, warmth, edema, and a red line along the vein, suggesting inflammation and clot formation. Infiltration lacks warmth, infection lacks the red line, and extravasation involves vesicant leakage.
Question 2 of 5
A nurse is preparing to administer furosemide 4 mg via IV bolus to a client. The amount available is furosemide 10 mg/mL. How many mL should the nurse administer per dose (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 0.4
Rationale:
To administer 4 mg of furosemide (10 mg/mL) divide 4 mg by 10 mg/mL = 0.4 mL. The answer is not rounded to a whole number as 0.4 mL is precise for IV bolus administration. Use a leading zero (0.4) and avoid trailing zeros.
Question 3 of 5
A nurse is caring for a client brought to the emergency room. The client’s caregiver reports the client had a sudden onset of confusion. Which intervening technique by the nurse is most appropriate to evaluate mentation for this client?
Correct Answer: B
Rationale: Open-ended questions allow comprehensive assessment of thought processes orientation and cognitive function in sudden confusion. Close-ended (
A) directive (
C) and reflective (
D) questions are less effective for initial mental status evaluation.
Question 4 of 5
A nurse administers 200 mL of enteral nutrition via a client's gastrostomy (GT) tube. The nurse flushes the feed bolus with 30 mL of water before and after the feed. How many mL does the nurse document as intake in the I&O?
Correct Answer: 260
Rationale:
Total intake = 200 mL (nutrition) + 30 mL (pre-flush) + 30 mL (post-flush) = 260 mL.
Question 5 of 5
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?
Correct Answer: C
Rationale: Health care team members involved in the client’s care can access protected health information under HIPAA to ensure safe treatment. Sharing with family, administrators, or clergy requires client consent or a specific need, which is not automatic.