ATI RN
ATI N103N103 Fundamentals Final Exam Questions
Extract:
Question 1 of 5
A primary health care provider orders chest physiotherapy with percussion and vibration for a client. After the health care provider leaves, the client says, 'I still don't understand the purpose of this therapy.' Which statement should be included in the nurse's response?
Correct Answer: C
Rationale: Chest physiotherapy loosens and mobilizes secretions to clear airways, aiding conditions like COPD or pneumonia. It doesn’t direct secretions to the lung base, eliminate coughing, or limit mucus production.
Question 2 of 5
A nurse is rounding on a client with bilateral wrist restraints. Which finding would warrant the nurse to loosen the restraints?
Correct Answer: C
Rationale: Cyanotic digits indicate impaired circulation due to tight restraints requiring immediate loosening to prevent tissue damage. Full range of motion (
A) and no discomfort (
D) suggest adequate restraint fit while attempting to remove them (
B) requires monitoring not loosening.
Question 3 of 5
A nurse is confirming with the client the informed consent signed earlier that day. The client then states, 'I have changed my mind and do not want to have the procedure done.' What action should the nurse take?
Correct Answer: B
Rationale: Notifying the surgeon respects the client’s autonomy to withdraw consent, allowing further discussion or cancellation. Consent is not legally binding, and proceeding or cancelling without surgeon input is inappropriate.
Question 4 of 5
A nurse is caring for a client brought to the emergency room. The client’s caregiver reports the client had a sudden onset of confusion. Which intervening technique by the nurse is most appropriate to evaluate mentation for this client?
Correct Answer: B
Rationale: Open-ended questions allow comprehensive assessment of thought processes orientation and cognitive function in sudden confusion. Close-ended (
A) directive (
C) and reflective (
D) questions are less effective for initial mental status evaluation.
Question 5 of 5
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?
Correct Answer: C
Rationale: Lift pads reduce friction/shearing during repositioning preventing skin damage. Staff injury prevention (
A) incontinence management (
B) and diaphoresis (
D) are not primary purposes.