ATI RN
ATI N103N103 Fundamentals Final Exam Questions
Extract:
Question 1 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 2 of 5
A nurse is caring for a client who is confused and uncooperative. The client hit the nurse when they attempted to give them their medication. The nurse asks the charge nurse if she can apply restraints on the client. The charge nurse should explain to the nurse this action is a violation of the client’s rights and is an example of which tort?
Correct Answer: D
Rationale: Applying restraints without justification constitutes false imprisonment violating client rights. Defamation (
A) invasion of privacy (
B) and slander (
C) are unrelated to unauthorized restraint use.
Question 3 of 5
A nurse is caring for a client with numerous episodes of watery diarrhea. The client reports eating some spoiled deli meat earlier in the day. The client asks if they should take loperamide (Imodium) to stop the diarrhea. What would be an appropriate response from the nurse?
Correct Answer: A
Rationale: Loperamide can trap infectious agents in infectious diarrhea prolonging illness. It is not recommended for diarrhea caused by spoiled food. Options B C and D are misleading or incorrect regarding infectious diarrhea management.
Question 4 of 5
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?
Correct Answer: C
Rationale: The orthopneic (tripod) position facilitates breathing in COPD clients by allowing the diaphragm to move more freely and utilizing accessory respiratory muscles reducing the work of breathing. Preventing pressure ulcers (
A) supporting hip extension (
B) and promoting urinary elimination (
D) are not primary purposes of this position.
Question 5 of 5
A nurse is assessing a client who is 2 days postoperative and is auscultating their bilateral breath sounds. The nurse notes absent breath sounds in the bases. The nurse should suspect which postoperative complication is occurring in this client?
Correct Answer: A
Rationale: Absent breath sounds in the lung bases post-surgery suggest atelectasis, where alveoli collapse due to shallow breathing or immobility. Pulmonary embolism, arterial thrombus, or pneumonia typically present with other signs like crackles or systemic symptoms.