ATI RN
ATI N103N103 Fundamentals Final Exam Questions
Extract:
Question 1 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 2 of 5
A nurse is preparing to administer furosemide 4 mg via IV bolus to a client. The amount available is furosemide 10 mg/mL. How many mL should the nurse administer per dose (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 0.4
Rationale:
To administer 4 mg of furosemide (10 mg/mL) divide 4 mg by 10 mg/mL = 0.4 mL. The answer is not rounded to a whole number as 0.4 mL is precise for IV bolus administration. Use a leading zero (0.4) and avoid trailing zeros.
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 demonstrating to a client how to perform diaphragmatic breathing. The nurse should educate the client to complete which action?
Correct Answer: D
Rationale: Tightening abdominal muscles during exhalation pushes the diaphragm up, enhancing air expulsion in diaphragmatic breathing. Shoulder raising leads to shallow breathing, mouth inhalation is less effective, and nose exhalation is not standard.
Question 5 of 5
A nurse is assessing for jaundice on a dark-skinned client. Which site should the nurse examine to identify jaundice on this client?
Correct Answer: A
Rationale: The sclera is the most reliable site to assess jaundice especially in dark-skinned clients due to visible bilirubin discoloration. Other sites (B C
D) are less effective for detecting yellowing.