ATI RN
ATI N103N103 Fundamentals Final Exam Questions
Extract:
Question 1 of 5
A nurse is assisting a client who has received crutches in an urgent care center following a foot injury. Which statement would the nurse identify as an indication that the client needs additional education?
Correct Answer: C
Rationale: Bearing weight on axillas risks nerve damage; weight should be supported by arms/hands. Keeping spare tips (
A) inspecting crutches (
B) and using arms (
D) are correct practices.
Question 2 of 5
A client asks the nurse about a prescription for the antihistamine, diphenhydramine (Benadryl). The nurse should teach the client that this medication is contraindicated in clients who have a history of which condition?
Correct Answer: C
Rationale: Diphenhydramine is contraindicated in patients with glaucoma, particularly closed-angle glaucoma, due to its anticholinergic properties that can increase intraocular pressure, potentially worsening the condition. Asthma is not a strict contraindication, though caution is advised due to possible exacerbation of symptoms from airway drying. Hypertension may require cautious use, but it’s not contraindicated. Depression is not a contraindication, though sedation effects may need monitoring.
Question 3 of 5
A nurse is caring for a client who is receiving oxygen therapy via a nasal cannula. How should the nurse explain to the client how this method of oxygen delivery performs?
Correct Answer: D
Rationale: A nasal cannula delivers a constant flow of a specific oxygen concentration (24%-44%), adjusted per the client’s needs, making this the most accurate description.
Question 4 of 5
A nurse is giving preoperative instructions to a patient scheduled for surgery. The patient tells the nurse, 'I will prepare my advance directives before I come to the hospital.' Which statement shows the client understands advance directives?
Correct Answer: C
Rationale: The statement about not wanting to be kept on a breathing machine shows the client understands that advance directives specify medical treatment preferences, such as life-sustaining measures. The other options reflect misunderstandings, such as needing doctor approval, surgery dependency on forms, or confusion about healthcare proxy designation.
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.