Questions 79

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ATI N103N103 Fundamentals Final Exam Questions

Extract:


Question 1 of 5

A nurse is teaching a client who is taking medication before bedtime. The nurse should include the following instructions:

Correct Answer: B

Rationale: Taking medication with a full glass of water ensures proper absorption and reduces esophageal irritation. The other options are incorrect as they depend on specific medication requirements or falsely assume side effects like abdominal pain.

Question 2 of 5

A nurse is performing tracheostomy care for a client and suctioning to remove secretions. Which of the following actions should the nurse take FIRST?

Correct Answer: C

Rationale: Preoxygenation with 100% oxygen prevents hypoxia during suctioning which temporarily reduces oxygen levels. Lubricating the catheter (
A) chest physiotherapy (
B) and suctioning passes (
D) are subsequent steps.

Question 3 of 5

A nurse is teaching a client who is obese and has obstructive sleep apnea on how to decrease the number of nightly apneic episodes. Which client statement indicates an understanding of the teaching?

Correct Answer: A

Rationale: Weight loss reduces airway obstruction in obstructive sleep apnea, decreasing apneic episodes. Sleeping pills worsen obstruction, humidifiers don’t address episodes, and back sleeping exacerbates the condition.

Question 4 of 5

A nurse is assessing a client’s cranial nerves. Which methods should the nurse use to assess cranial nerve V?

Correct Answer: A

Rationale: Cranial nerve V (trigeminal) is assessed by testing motor function (clenching teeth to evaluate masseter/temporalis strength) and sensory function (light touch on facial areas). Identifying aromas (
B) reading a Snellen chart (
C) and raising eyebrows (
D) assess cranial nerves I II and VII respectively.

Question 5 of 5

A nurse is caring for a client who is preoperative. The nurse signs as a witness on the client's consent form. The nurse's signature on the consent form indicates which of the following?

Correct Answer: D

Rationale: The nurse’s signature as a witness confirms the client is competent and voluntarily signing the consent form, ensuring informed consent. It does not record necessity, assess mental illness, or indicate the nurse explained risks.

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