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ATI N103N103 Fundamentals Final Exam Questions

Extract:


Question 1 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.

Question 2 of 5

Which clinical manifestation is most reflective of an early response to hypoxia?

Correct Answer: A

Rationale: Restlessness is an early sign of hypoxia as the brain responds to low oxygen levels with agitation. Cyanosis, apnea, and bradycardia are later signs, occurring after prolonged oxygen deprivation.

Question 3 of 5

A nurse is assessing a client’s cranial nerves. Which methods should the nurse use to assess cranial nerve V?

Correct Answer: A

Rationale: Cranial nerve V (trigeminal) is assessed by testing motor function (clenching teeth to evaluate masseter/temporalis strength) and sensory function (light touch on facial areas). Identifying aromas (
B) reading a Snellen chart (
C) and raising eyebrows (
D) assess cranial nerves I II and VII respectively.

Question 4 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 5 of 5

A nurse is teaching a client who is obese and has obstructive sleep apnea on how to decrease the number of nightly apneic episodes. Which client statement indicates an understanding of the teaching?

Correct Answer: A

Rationale: Weight loss reduces airway obstruction in obstructive sleep apnea, decreasing apneic episodes. Sleeping pills worsen obstruction, humidifiers don’t address episodes, and back sleeping exacerbates the condition.

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