ATI RN
ATI N103N103 Fundamentals Final Exam Questions
Extract:
Question 1 of 5
A nurse received a prescription to administer a medication NOW to a client. Which action should the nurse take?
Correct Answer: A
Rationale: A NOW order requires prompt administration within 90 minutes, ensuring timely treatment without the urgency of a STAT order. Scheduled, interval, or symptom-based administration does not apply.
Question 2 of 5
A nurse is caring for a client who has pneumonia and a prescription for oxygen therapy at 5 L/min via nasal cannula. Which action should the nurse take?
Correct Answer: B
Rationale: Attaching a humidifier bottle prevents nasal dryness from high-flow oxygen, enhancing comfort and effectiveness. Securing tubing to the bed risks dislodgement, petroleum jelly is flammable, and removing the cannula interrupts critical oxygen delivery.
Question 3 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 4 of 5
A client asks the nurse about a prescription for the antihistamine, diphenhydramine (Benadryl). The nurse should teach the client that this medication is contraindicated in clients who have a history of which condition?
Correct Answer: C
Rationale: Diphenhydramine is contraindicated in patients with glaucoma, particularly closed-angle glaucoma, due to its anticholinergic properties that can increase intraocular pressure, potentially worsening the condition. Asthma is not a strict contraindication, though caution is advised due to possible exacerbation of symptoms from airway drying. Hypertension may require cautious use, but it’s not contraindicated. Depression is not a contraindication, though sedation effects may need monitoring.
Question 5 of 5
A nurse is caring for a patient who is pregnant. Check the name tag (select all that apply):
Correct Answer: A
Rationale: Ensuring privacy during urine sample collection is crucial for a pregnant patient’s dignity and comfort, especially for tests monitoring conditions like gestational diabetes. Otoscope, tannic acid, and pupil dilation are not relevant to routine pregnancy care.