ATI RN
ATI N103N103 Fundamentals Final Exam Questions
Extract:
Question 1 of 5
A nurse is teaching a client about taking an expectorant to treat a cough. The nurse should explain this type of medication works by which mechanism?
Correct Answer: A
Rationale: Expectorants thin and loosen mucus facilitating its expulsion from the airways. Antitussives (
B) suppress cough anti-inflammatories (
C) reduce inflammation and antihistamines (
D) dry mucous membranes none of which describe expectorants.
Question 2 of 5
A nurse on the medical-surgical unit is conducting a fall risk assessment on four clients. Which of these clients would be at greatest risk for falls?
Correct Answer: C
Rationale: An older adult with confusion and urinary frequency is at greatest fall risk due to disorientation and urgency compounded by age-related declines in strength/balance. Postoperative assistance (
A) crutch adaptation (
B) and leg ulcer (
D) pose lower risks.
Question 3 of 5
A nurse is preparing to administer oral medications to a client. According to the Joint Commission which are acceptable client identifiers? (Select all that apply.)
Correct Answer: A,D
Rationale: The Joint Commission identifies the client’s full name and date of birth as acceptable identifiers due to their uniqueness. Photograph identification (
B) is not standard and room number (
C) is unreliable as it may change.
Question 4 of 5
A nurse is planning care for a client who has manifestations of a Clostridium difficile (C. difficile) infection. Which action should the nurse plan to take?
Correct Answer: B
Rationale: Gown and gloves prevent contact transmission of C. difficile. Masks are unnecessary, alcohol-based sanitizers are ineffective against spores, and blood tests don’t diagnose C. difficile.
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.