ATI RN
ATI N103N103 Fundamentals Final Exam Questions
Extract:
Question 1 of 5
A nurse is demonstrating to a client how to perform diaphragmatic breathing. The nurse should educate the client to complete which action?
Correct Answer: D
Rationale: Tightening abdominal muscles during exhalation pushes the diaphragm up, enhancing air expulsion in diaphragmatic breathing. Shoulder raising leads to shallow breathing, mouth inhalation is less effective, and nose exhalation is not standard.
Question 2 of 5
A nurse is doing hourly rounding and finds a client unresponsive. The nurse is unable to obtain a pulse and the client is not breathing. What intervention would be the priority for this client?
Correct Answer: A
Rationale: Starting chest compressions is the priority in cardiac arrest to restore circulation. Central lines, assessments, and rescue breathing follow after initiating compressions.
Question 3 of 5
A nurse is teaching a client about taking an expectorant to treat a cough. The nurse should explain this type of medication works by which mechanism?
Correct Answer: A
Rationale: Expectorants thin and loosen mucus facilitating its expulsion from the airways. Antitussives (
B) suppress cough anti-inflammatories (
C) reduce inflammation and antihistamines (
D) dry mucous membranes none of which describe expectorants.
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 necessitating 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 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.