ATI RN
ATI N103N103 Fundamentals Final Exam Questions
Extract:
Question 1 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 2 of 5
A nurse is assessing a client’s cranial nerves. Which methods should the nurse use to assess cranial nerve V?
Correct Answer: A
Rationale: Cranial nerve V (trigeminal) is assessed by testing motor function (clenching teeth to evaluate masseter/temporalis strength) and sensory function (light touch on facial areas). Identifying aromas (
B) reading a Snellen chart (
C) and raising eyebrows (
D) assess cranial nerves I II and VII respectively.
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 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
An employee health nurse is providing education on how nurses can prevent back and joint injury. Which techniques minimize this risk of injury on the job?
Correct Answer: A,B,C,D
Rationale: Using good body mechanics (
A) minimizes strain during lifting. Proper posture (
B) reduces spinal stress. Assistive devices (
C) like lifts reduce physical strain. Staying physically fit (
D) enhances strength and flexibility. All techniques prevent back/joint injuries.