ATI RN
ATI N103N103 Fundamentals Final Exam Questions
Extract:
Question 1 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 2 of 5
A nurse is caring for a client who will be placed on strict bed rest after surgery. The nurse should educate the client on the use of an incentive spirometer. The use of an incentive spirometer would prevent which postoperative complication?
Correct Answer: D
Rationale: An incentive spirometer encourages deep breathing to prevent atelectasis by keeping alveoli open. It does not directly prevent UTIs, DVT, or constipation, which require other interventions like hygiene, compression stockings, or dietary measures.
Question 3 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 4 of 5
A nurse is doing hourly rounding and finds a client unresponsive. The nurse is unable to obtain a pulse and the client is not breathing. What intervention would be the priority for this client?
Correct Answer: A
Rationale: Starting chest compressions is the priority in cardiac arrest to restore circulation. Central lines, assessments, and rescue breathing follow after initiating compressions.
Question 5 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.