ATI RN
ATI N103N103 Fundamentals Final Exam Questions
Extract:
Question 1 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 2 of 5
A nurse is caring for a client with an opioid overdose. The nurse should identify the client is at risk for which acid-base imbalance?
Correct Answer: B
Rationale: Opioid overdose causes hypoventilation leading to CO2 retention and respiratory acidosis (low pH high PaCO2). Metabolic acidosis (
A) respiratory alkalosis (
C) and metabolic alkalosis (
D) are unrelated to hypoventilation.
Question 3 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.
Question 4 of 5
A nurse is rounding on a client with bilateral wrist restraints. Which finding would warrant the nurse to loosen the restraints?
Correct Answer: C
Rationale: Cyanotic digits indicate impaired circulation due to tight restraints requiring immediate loosening to prevent tissue damage. Full range of motion (
A) and no discomfort (
D) suggest adequate restraint fit while attempting to remove them (
B) requires monitoring not loosening.
Question 5 of 5
A nurse is providing education about when health care referrals would be appropriate. When should a healthcare provider order a referral?
Correct Answer: B
Rationale: Referrals are appropriate when care exceeds the provider’s scope, ensuring specialized treatment. Busyness, insurance status, or lateness are not valid reasons for referrals.