ATI RN
ATI N103N103 Fundamentals Final Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client at risk for fluid volume overload with an order to infuse 1 unit of blood. The health care provider specified the rate of infusion must be 8 hours to prevent the effects of fluid volume overload in this client. Which intervention should the nurse implement for this client?
Correct Answer: C
Rationale: Blood transfusions must be completed within 4 hours to prevent bacterial growth and complications per AABB/CDC guidelines. An 8-hour infusion (A
D) is unsafe and splitting the unit (
B) is not standard without specific protocols. Questioning the order (
C) ensures patient safety.
Question 2 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.
Question 3 of 5
A nurse is caring for a client who is preoperative. The nurse signs as a witness on the client's consent form. The nurse's signature on the consent form indicates which of the following?
Correct Answer: D
Rationale: The nurse’s signature as a witness confirms the client is competent and voluntarily signing the consent form, ensuring informed consent. It does not record necessity, assess mental illness, or indicate the nurse explained risks.
Question 4 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 5 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.