ATI RN
ATI N103N103 Fundamentals Final Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has a Jackson-Pratt (JP) drain in place after surgery for an abdominal wound. The nurse should understand that the JP drain was placed for which purpose?
Correct Answer: D
Rationale: The primary purpose of a Jackson-Pratt (JP) drain is to prevent fluid from accumulating in the wound, including blood and lymphatic fluid, which reduces the risk of infection and promotes healing. It is not used for medication administration, does not eliminate the need for dressings, and while it may help manage bleeding, its main role is fluid removal.
Question 2 of 5
A nurse is preparing an educational program about client confidentiality. The nurse should explain that nurses may share a client's protected health information with which individuals?
Correct Answer: C
Rationale: Health care team members involved in the client’s care can access protected health information under HIPAA to ensure safe treatment. Sharing with family, administrators, or clergy requires client consent or a specific need, which is not automatic.
Question 3 of 5
A nurse is caring for a patient who is pregnant. Check the name tag (select all that apply):
Correct Answer: A
Rationale: Ensuring privacy during urine sample collection is crucial for a pregnant patient’s dignity and comfort, especially for tests monitoring conditions like gestational diabetes. Otoscope, tannic acid, and pupil dilation are not relevant to routine pregnancy care.
Question 4 of 5
Which nutrient is most effective for a client to consume to maintain healthy bowel elimination?
Correct Answer: D
Rationale: Fiber is essential for healthy bowel elimination as it adds bulk to stool and promotes regular movements. Fats, proteins, and minerals do not have the same direct impact on bowel function.
Question 5 of 5
A nurse is caring for a client who has a chest tube connected to a closed drainage system and needs to be transported to the x-ray department. Which measure is important for the nurse to take?
Correct Answer: A
Rationale: Keeping the drainage system below chest level prevents backflow of fluid/air into the pleural space maintaining negative pressure. Clamping the tube (
B) risks tension pneumothorax emptying the chamber (
C) is unnecessary and disconnecting (
D) disrupts the system.