ATI RN
ATI N103N103 Fundamentals Final Exam Questions
Extract:
Question 1 of 5
A nurse is caring for an elderly client diagnosed with a urinary tract infection (UTI). The family reports an abrupt onset of altered mental status disorientation and intermittent hallucinations. The nurse would identify these signs to be consistent with which sensory alteration?
Correct Answer: D
Rationale: Delirium is characterized by sudden onset of confusion disorientation and hallucinations often triggered by acute conditions like a UTI in elderly clients. Sleep deprivation (
A) normal aging (
B) and dementia (
C) typically present with gradual or less acute symptoms.
Question 2 of 5
A nurse is preparing to perform hand hygiene. Which action should the nurse take for hand hygiene to be effective?
Correct Answer: A
Rationale: Rubbing soap on hands for at least 20 seconds ensures thorough cleaning of all hand surfaces, as recommended by the CDC. Drying is important but secondary, holding hands higher is for surgical antisepsis, and hot water is unnecessary as warm or cold water is effective.
Question 3 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 4 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.
Question 5 of 5
A nurse is caring for a patient who is pregnant. Check the name tag (select all that apply):
Correct Answer: A
Rationale: Ensuring privacy during urine sample collection is crucial for a pregnant patient’s dignity and comfort, especially for tests monitoring conditions like gestational diabetes. Otoscope, tannic acid, and pupil dilation are not relevant to routine pregnancy care.