ATI RN
ATI N103N103 Fundamentals Final Exam Questions
Extract:
Question 1 of 5
A nurse is preparing to administer vitamin K by IM injection to a newborn. The nurse should administer the medication into which muscle?
Correct Answer: C
Rationale: The vastus lateralis is the preferred IM injection site in newborns due to its well-developed muscle and distance from major nerves/vessels. Gastrocnemius (
A) and dorsogluteal (
B) are unsafe and ventrogluteal (
D) is used in older children/adults.
Question 2 of 5
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?
Correct Answer: D
Rationale: An incentive spirometer encourages deep breathing to prevent atelectasis by keeping alveoli open. It does not directly prevent UTIs, DVT, or constipation, which require other interventions like hygiene, compression stockings, or dietary measures.
Question 3 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.
Question 4 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 5 of 5
A nurse is caring for a client who has a chest tube connected to a closed drainage system and needs to be transported to the x-ray department. Which measure is important for the nurse to take?
Correct Answer: A
Rationale: Keeping the drainage system below chest level prevents backflow of fluid/air into the pleural space maintaining negative pressure. Clamping the tube (
B) risks tension pneumothorax emptying the chamber (
C) is unnecessary and disconnecting (
D) disrupts the system.