ATI RN
ATI N103N103 Fundamentals Final Exam Questions
Extract:
Question 1 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 2 of 5
A client has an injury to the left ankle requiring partial weight bearing. The client is elderly with a history of balance deficit. Which assistive device would be most appropriate for this client?
Correct Answer: A
Rationale: Adjusting pain medication dosage for age is critical for elderly clients to prevent overmedication, supporting safe mobility with a balance deficit. The other options are unrelated to assistive devices or inappropriate for PCA use.
Question 3 of 5
A nurse is caring for a postoperative client. Which intervention should the nurse identify as important to prevent postoperative pulmonary complications?
Correct Answer: C
Rationale: Incentive spirometry promotes lung expansion preventing atelectasis and pulmonary complications. Suction equipment (
A) expectorants (
B) and range of motion (
D) are less directly preventive.
Question 4 of 5
A nurse is caring for a client who is preoperative. The nurse signs as a witness on the client's consent form. The nurse's signature on the consent form indicates which of the following?
Correct Answer: D
Rationale: The nurse’s signature as a witness confirms the client is competent and voluntarily signing the consent form, ensuring informed consent. It does not record necessity, assess mental illness, or indicate the nurse explained risks.
Question 5 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.