ATI RN
ATI Nursing 100 Day Exam 4 Fundamentals Questions
Extract:
Question 1 of 5
Chest physiotherapy (CPT) is ordered for a client with pneumonia. The nurse knows that the primary purpose of CPT for this client is to:
Correct Answer: C
Rationale: CPT loosens secretions in pneumonia by using percussion and vibration to mobilize mucus clearing airways and improving ventilation. Deeper inhalations and ciliary movement are secondary benefits and CPT does not propel oxygen but aids gas exchange by clearing obstructions.
Question 2 of 5
The nurse understands that the rationale(s) for clients receiving intravenous (IV) therapy is/are to:
Correct Answer: A,D,E
Rationale: IV therapy compensates for fluid/electrolyte losses (e.g. vomiting) corrects imbalances (e.g. hyponatremia) and expands volume in dehydration or hypovolemia. Increasing urine specific gravity indicates concentrated urine not an IV goal and moving fluid to unavailable areas (e.g. cerebrospinal fluid) is not achieved by IV therapy.
Question 3 of 5
A nursing instructor is observing a nursing student prepare and administer medications to adult clients. Which action by the nursing student requires intervention by the Instructor?
Correct Answer: B
Rationale: Buccal medications are placed between the cheek and gum to dissolve slowly not under the tongue which is for sublingual administration risking incorrect absorption. Injecting air into vials pouring 2 tsp (10 mL) of Robitussin and using a 1 mL syringe for heparin are correct techniques.
Question 4 of 5
The nurse is aware that a common cause of under delegation in client care is:
Correct Answer: C
Rationale: Under-delegation often stems from a nurse’s need for perfectionism and control leading to reluctance to delegate tasks as they fear tasks won’t meet their standards. Over-delegation to assistive personnel is related to excessive delegation not under-delegation. A high degree of trust would facilitate delegation and nurses’ heavy workloads mean they often lack time to do all tasks themselves contradicting the idea of having time as a cause.
Question 5 of 5
The nursing assessment finding that represents the most serious indication of a client's deteriorating oxygenation status is:
Correct Answer: C
Rationale: Cyanosis (bluish skin/mucous membranes) indicates severe oxygenation failure due to inadequate oxygen delivery reflecting critical hypoxia. Pursed-lip breathing is compensatory clubbing is chronic and skin turgor relates to hydration not oxygenation.