ATI RN
ATI N103N103 Fundamentals Final Exam Questions
Extract:
Question 1 of 5
A nurse is providing discharge teaching to the parent of a child who is prescribed diphenhydramine 25 mg elixir every 4 hours as needed. The amount available is diphenhydramine elixir 125 mg/5 mL. How many mL should the nurse administer per dose?
Correct Answer: 1
Rationale:
To calculate: (25 mg × 5 mL) ÷ 125 mg = 1 mL per dose. This ensures the correct dosage is administered based on the available concentration.
Question 2 of 5
A nurse is assessing a client's wound and notes there is slough present. What would be an appropriate intervention for this wound?
Correct Answer: C
Rationale: Debridement is the most appropriate intervention for a wound with slough, as it removes necrotic tissue to promote a clean wound bed and facilitate healing. Covering or leaving the wound alone risks infection and delayed healing, while cleaning alone is insufficient to remove slough.
Question 3 of 5
A primary health care provider orders chest physiotherapy with percussion and vibration for a client. After the health care provider leaves, the client says, 'I still don't understand the purpose of this therapy.' Which statement should be included in the nurse's response?
Correct Answer: C
Rationale: Chest physiotherapy loosens and mobilizes secretions to clear airways, aiding conditions like COPD or pneumonia. It doesn’t direct secretions to the lung base, eliminate coughing, or limit mucus production.
Question 4 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 5 of 5
A nurse is caring for a client who has a Jackson-Pratt (JP) drain in place after surgery for an abdominal wound. The nurse should understand that the JP drain was placed for which purpose?
Correct Answer: D
Rationale: The primary purpose of a Jackson-Pratt (JP) drain is to prevent fluid from accumulating in the wound, including blood and lymphatic fluid, which reduces the risk of infection and promotes healing. It is not used for medication administration, does not eliminate the need for dressings, and while it may help manage bleeding, its main role is fluid removal.