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ATI N103N103 Fundamentals Final Exam Questions

Extract:


Question 1 of 5

A nurse is performing tracheostomy care for a client and suctioning to remove secretions. Which of the following actions should the nurse take FIRST?

Correct Answer: C

Rationale: Preoxygenation with 100% oxygen prevents hypoxia during suctioning which temporarily reduces oxygen levels. Lubricating the catheter (
A) chest physiotherapy (
B) and suctioning passes (
D) are subsequent steps.

Question 2 of 5

The nurse is providing education to a student nurse regarding delegation. What tasks would be unable to be delegated to unlicensed assistive personnel (UAP)? (Select all that apply)

Correct Answer: C,D,E

Rationale: Evaluating treatment, assessing a stoma, and discharge teaching require clinical judgment and are reserved for licensed nurses. Bed baths and toileting are routine tasks suitable for UAPs.

Question 3 of 5

A nurse is preparing an educational program about client confidentiality. The nurse should explain that nurses may share a client's protected health information with which individuals?

Correct Answer: C

Rationale: Health care team members involved in the client’s care can access protected health information under HIPAA to ensure safe treatment. Sharing with family, administrators, or clergy requires client consent or a specific need, which is not automatic.

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 teaching a class about palliative care. The nurse should include that which of the following is the focus of palliative care?

Correct Answer: B

Rationale: Palliative care focuses on controlling symptoms and providing comfort complementing other treatments to enhance quality of life. Prolonging life (
A) replacing treatments (
C) or curing illness (
D) are not its primary goals.

Similar Questions

A nurse is assessing a client who is 2 days postoperative and is auscultating their bilateral breath sounds. The nurse notes absent breath sounds in the bases. The nurse should suspect which postoperative complication is occurring in this client?
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?
A nurse is performing tracheostomy care for a client and suctioning to remove secretions. Which of the following actions should the nurse take FIRST?
A nurse is assessing a client who has chronic insomnia. Which question would address the highest safety priority for the client?
A nurse is rounding on a client with bilateral wrist restraints. Which finding would warrant the nurse to loosen the restraints?

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