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ATI N103N103 Fundamentals Final Exam Questions

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Question 1 of 5

A nurse is reviewing the arterial blood gas values for a client. The nurse should recognize that the values indicate which of the following acid-base imbalances? pH: 7.56 PaCO2: 55 mmHg HCO3: 33 mEq/L

Correct Answer: A

Rationale: pH 7.56 (high) and HCO3 33 mEq/L (high) indicate metabolic alkalosis with elevated PaCO2 (55 mmHg) suggesting respiratory compensation. Metabolic acidosis (
B) respiratory alkalosis (
C) and respiratory acidosis (
D) do not match the values.

Question 2 of 5

A nurse is caring for a client with a chest tube. Which action should the nurse take?

Correct Answer: A

Rationale: Positioning the collection device below the chest uses gravity to ensure proper drainage and prevent backflow. Clamping risks complications, occlusive dressings are secondary, and emptying isn’t routine.

Question 3 of 5

A nurse accidentally sticks her hand with a needle after administering an intramuscular (IM) injection to a client. Which action should the nurse take first?

Correct Answer: A

Rationale: Washing the puncture site with soap and water immediately reduces the risk of infection and bloodborne pathogen transmission per CDC guidelines. Notifying employee health (
B) completing an incident report (
C) and reporting to the charge nurse (
D) are important but follow initial first aid.

Question 4 of 5

A nurse is teaching a client who has left-sided weakness after a stroke on how to use a cane. What instructions should the nurse include?

Correct Answer: A

Rationale: Holding the cane on the right side supports the weaker left leg, enhancing balance. Advancing the strong leg with the cane, removing the rubber tip, or placing the cane too far ahead reduces stability.

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.

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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?

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