ATI RN
ATI N103N103 Fundamentals Final Exam Questions
Extract:
Question 1 of 5
A nurse is providing education about when health care referrals would be appropriate. When should a healthcare provider order a referral?
Correct Answer: B
Rationale: Referrals are appropriate when care exceeds the provider’s scope, ensuring specialized treatment. Busyness, insurance status, or lateness are not valid reasons for referrals.
Question 2 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 3 of 5
The nurse is providing education to a client about nutrition. Which foods should the client be instructed to limit in their diet? (Select all that apply)
Correct Answer: A,C,D,E
Rationale: Limiting cured fat foods, canned soups, processed snacks, and sugary drinks reduces risks of heart disease, hypertension, and diabetes. Vegetables should not be limited due to their nutritional benefits.
Question 4 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 5 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.