ATI RN
ATI N103N103 Fundamentals Final Exam Questions
Extract:
Question 1 of 5
A nurse is providing an in-service about repositioning clients and the use of lift pads for immobile clients. What is the rationale for placing lift pads under an immobile client?
Correct Answer: C
Rationale: Lift pads reduce friction/shearing during repositioning preventing skin damage. Staff injury prevention (
A) incontinence management (
B) and diaphoresis (
D) are not primary purposes.
Question 2 of 5
A nurse is assessing a client with congestive heart failure (CHF). Which assessment tool will provide a reliable measure of fluid retention for this client?
Correct Answer: B
Rationale: Daily weight measurement reliably detects fluid retention in CHF, as sudden weight gain indicates fluid accumulation. Cardiac monitoring, blood pressure, and urine output are useful but less direct for assessing fluid status.
Question 3 of 5
A nurse is caring for an elderly client diagnosed with a urinary tract infection (UTI). The family reports an abrupt onset of altered mental status disorientation and intermittent hallucinations. The nurse would identify these signs to be consistent with which sensory alteration?
Correct Answer: D
Rationale: Delirium is characterized by sudden onset of confusion disorientation and hallucinations often triggered by acute conditions like a UTI in elderly clients. Sleep deprivation (
A) normal aging (
B) and dementia (
C) typically present with gradual or less acute symptoms.
Question 4 of 5
A nurse is assessing a client who is receiving a unit of packed RBCs. The client appears flushed and reports low-back pain. After stopping the transfusion, which intervention is important to complete FIRST?
Correct Answer: D
Rationale: Keeping the IV line open with 0.9% normal saline through new tubing is the first priority to maintain access for emergency treatments. This ensures hydration and readiness for medications, preceding provider notification, blood bank reporting, or urine collection.
Question 5 of 5
A nurse is assisting a client who has received crutches in an urgent care center following a foot injury. Which statement would the nurse identify as an indication that the client needs additional education?
Correct Answer: C
Rationale: Bearing weight on axillas risks nerve damage; weight should be supported by arms/hands. Keeping spare tips (
A) inspecting crutches (
B) and using arms (
D) are correct practices.