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ATI N103N103 Fundamentals Final Exam Questions

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Question 1 of 5

A nurse is caring for a client on postoperative day 2 following abdominal surgery. The surgeon prescribes a full liquid diet. Which food choice would be contraindicated for this client?

Correct Answer: C

Rationale: Mashed potatoes and gravy are not full liquid diet foods as they are not liquid at room temperature. Apple juice (
A) smoothies (
B) and chicken broth (
D) are appropriate for a full liquid diet.

Question 2 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 3 of 5

A nurse is teaching a client who is taking medication before bedtime. The nurse should include the following instructions:

Correct Answer: B

Rationale: Taking medication with a full glass of water ensures proper absorption and reduces esophageal irritation. The other options are incorrect as they depend on specific medication requirements or falsely assume side effects like abdominal pain.

Question 4 of 5

A nurse on the medical-surgical unit is conducting a fall risk assessment on four clients. Which of these clients would be at greatest risk for falls?

Correct Answer: C

Rationale: An older adult with confusion and urinary frequency is at greatest fall risk due to disorientation and urgency compounded by age-related declines in strength/balance. Postoperative assistance (
A) crutch adaptation (
B) and leg ulcer (
D) pose lower risks.

Question 5 of 5

A nurse is preparing to administer digoxin 1.5 mg PO to a client. The amount available is digoxin 0.5 mg tablet. How many tablets should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer: 3

Rationale:
To administer 1.5 mg of digoxin using 0.5 mg tablets divide 1.5 mg by 0.5 mg/tablet = 3 tablets. The answer is a whole number requiring no rounding.

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