Questions 79

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ATI N103N103 Fundamentals Final Exam Questions

Extract:


Question 1 of 5

A nurse is caring for a client who is immobile. Which prophylactic intervention would be used to prevent complications of immobility?

Correct Answer: A

Rationale: Compression stockings prevent deep vein thrombosis by improving leg circulation, a key complication of immobility. Side rails address falls, catheters risk infections, and friction devices prevent ulcers but are less comprehensive.

Question 2 of 5

A nurse is assessing a client with congestive heart failure (CHF). Which assessment tool will provide a reliable measure of fluid retention for this client?

Correct Answer: B

Rationale: Daily weight measurement reliably detects fluid retention in CHF, as sudden weight gain indicates fluid accumulation. Cardiac monitoring, blood pressure, and urine output are useful but less direct for assessing fluid status.

Question 3 of 5

A nurse is preparing to administer amoxicillin 2 g/day PO divided into two doses. The amount available is amoxicillin 500 mg tablets. How many tablets should the nurse administer with each dose?

Correct Answer: 2

Rationale: Calculate: 2 g = 2000 mg/day ÷ 2 doses = 1000 mg/dose. 1000 mg ÷ 500 mg/tablet = 2 tablets per dose.

Question 4 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 5 of 5

A nurse is caring for a client admitted with a rash. They are trying to rule out (r/o) varicella. Before entering the room, the nurse should be instructed to wear what kind of mask?

Correct Answer: A

Rationale: An N95 mask is required for varicella, an airborne disease, to protect against inhaling infectious particles. Surgical masks, no mask, or client-only masks do not provide adequate protection.

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