ATI RN
ATI N103N103 Fundamentals Final Exam Questions
Extract:
Question 1 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 2 of 5
A nurse is caring for a client who has returned to the unit following a surgical procedure of the abdomen. The client is complaining of pain 6/10. On assessment, the client's oxygen saturation is 85%. Which action should the nurse take first?
Correct Answer: D
Rationale: Administering oxygen at 2 L/min addresses the critical hypoxemia (85% saturation) to prevent further complications. Pain management and positioning follow after stabilizing oxygenation.
Question 3 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 4 of 5
A nurse is providing discharge teaching to the parent of a child who is prescribed diphenhydramine 25 mg elixir every 4 hours as needed. The amount available is diphenhydramine elixir 125 mg/5 mL. How many mL should the nurse administer per dose?
Correct Answer: 1
Rationale:
To calculate: (25 mg × 5 mL) ÷ 125 mg = 1 mL per dose. This ensures the correct dosage is administered based on the available concentration.
Question 5 of 5
A nurse is caring for a client diagnosed with end-stage liver cancer. Which response is an indication the client is in the denial phase of the grief process?
Correct Answer: A
Rationale: Denial is shown by rejecting the prognosis, believing the doctor is exaggerating. Other responses reflect anger, acceptance of symptoms, or full acceptance.