ATI RN
ATI N103N103 Fundamentals Final Exam Questions
Extract:
Question 1 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 2 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 3 of 5
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?
Correct Answer: A
Rationale: Absent breath sounds in the lung bases post-surgery suggest atelectasis, where alveoli collapse due to shallow breathing or immobility. Pulmonary embolism, arterial thrombus, or pneumonia typically present with other signs like crackles or systemic symptoms.
Question 4 of 5
A nurse administers 200 mL of enteral nutrition via a client's gastrostomy (GT) tube. The nurse flushes the feed bolus with 30 mL of water before and after the feed. How many mL does the nurse document as intake in the I&O?
Correct Answer: 260
Rationale:
Total intake = 200 mL (nutrition) + 30 mL (pre-flush) + 30 mL (post-flush) = 260 mL.
Question 5 of 5
A nurse is preparing to administer furosemide 4 mg via IV bolus to a client. The amount available is furosemide 10 mg/mL. How many mL should the nurse administer per dose (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 0.4
Rationale:
To administer 4 mg of furosemide (10 mg/mL) divide 4 mg by 10 mg/mL = 0.4 mL. The answer is not rounded to a whole number as 0.4 mL is precise for IV bolus administration. Use a leading zero (0.4) and avoid trailing zeros.