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ATI N103N103 Fundamentals Final Exam Questions

Extract:


Question 1 of 5

A nurse is caring for a client with a chest tube. Which action should the nurse take?

Correct Answer: A

Rationale: Positioning the collection device below the chest uses gravity to ensure proper drainage and prevent backflow. Clamping risks complications, occlusive dressings are secondary, and emptying isn’t routine.

Question 2 of 5

A nurse is caring for a client who has pneumonia and a prescription for oxygen therapy at 5 L/min via nasal cannula. Which action should the nurse take?

Correct Answer: B

Rationale: Attaching a humidifier bottle prevents nasal dryness from high-flow oxygen, enhancing comfort and effectiveness. Securing tubing to the bed risks dislodgement, petroleum jelly is flammable, and removing the cannula interrupts critical oxygen delivery.

Question 3 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 4 of 5

A nurse is confirming with the client the informed consent signed earlier that day. The client then states, 'I have changed my mind and do not want to have the procedure done.' What action should the nurse take?

Correct Answer: B

Rationale: Notifying the surgeon respects the client’s autonomy to withdraw consent, allowing further discussion or cancellation. Consent is not legally binding, and proceeding or cancelling without surgeon input is inappropriate.

Question 5 of 5

The nurse is providing education to a client about nutrition. Which foods should the client be instructed to limit in their diet? (Select all that apply)

Correct Answer: A,C,D,E

Rationale: Limiting cured fat foods, canned soups, processed snacks, and sugary drinks reduces risks of heart disease, hypertension, and diabetes. Vegetables should not be limited due to their nutritional benefits.

Similar Questions

A nurse is caring for a client brought to the emergency room. The client’s caregiver reports the client had a sudden onset of confusion. Which intervening technique by the nurse is most appropriate to evaluate mentation for this client?
A nurse is auditing a client. During the assessment the nurse notes the client has multiple cavities chipped and missing teeth. The client reports having difficulty eating. Which diet should the nurse recommend the primary health care provider to order for this client?
A nurse is caring for a patient who is pregnant. Check the name tag (select all that apply):
A nurse is giving preoperative instructions to a patient scheduled for surgery. The patient tells the nurse, 'I will prepare my advance directives before I come to the hospital.' Which statement shows the client understands advance directives?
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?

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