ATI RN
ATI N103N103 Fundamentals Final Exam Questions
Extract:
Question 1 of 5
A nurse is assessing for jaundice on a dark-skinned client. Which site should the nurse examine to identify jaundice on this client?
Correct Answer: A
Rationale: The sclera is the most reliable site to assess jaundice especially in dark-skinned clients due to visible bilirubin discoloration. Other sites (B C
D) are less effective for detecting yellowing.
Question 2 of 5
A nurse is caring for a client who is immobile. Which prophylactic intervention would be used to prevent complications of immobility?
Correct Answer: A
Rationale: Compression stockings prevent deep vein thrombosis by improving leg circulation, a key complication of immobility. Side rails address falls, catheters risk infections, and friction devices prevent ulcers but are less comprehensive.
Question 3 of 5
A nurse is caring for a client who is complaining of thick respiratory secretions that are difficult to clear. What should the nurse encourage the client to do to help clear those secretions?
Correct Answer: A
Rationale: Increased fluid intake thins mucus aiding clearance. Antitussives (
B) suppress cough deep breathing (
C) is secondary and position changes (
D) are less effective for thinning secretions.
Question 4 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 5 of 5
A nurse is caring for a client who has pneumonia and a prescription for oxygen therapy at 5 L/min via nasal cannula. Which action should the nurse take?
Correct Answer: B
Rationale: Attaching a humidifier bottle prevents nasal dryness from high-flow oxygen, enhancing comfort and effectiveness. Securing tubing to the bed risks dislodgement, petroleum jelly is flammable, and removing the cannula interrupts critical oxygen delivery.