ATI RN
ATI Nursing 100 Day Exam 4 Fundamentals Questions
Extract:
Question 1 of 5
The nurse notes that a diuretic is listed on the client's medication administration record (MAR). It is most important for the nurse to report to the physician a serum:
Correct Answer: B
Rationale: A low potassium level (3.2 mEq/L below normal 3.5-5.0 mEq/L) indicates hypokalemia a serious diuretic side effect risking arrhythmias and requiring immediate reporting. Normal sodium (135-145 mEq/L) hematocrit (38-50%) and chloride (95-105 mEq/L) levels are less urgent.
Question 2 of 5
The best way for the nurse to assess a client's level of dyspnea is to:
Correct Answer: B
Rationale: Observing dyspnea at rest and during activity provides a comprehensive assessment of respiratory distress by noting changes in breathing patterns effort and symptoms. Documentation offers historical data subjective reports may be unreliable and lung sounds assess lung function not dyspnea severity directly.
Question 3 of 5
A group that has transformed itself from a collection of individuals into a productive problem-solving highly functioning team would be functioning in which stage of group development?
Correct Answer: D
Rationale: The performing stage is where a group functions at its highest level with effective problem-solving and productivity. Forming involves initial introductions where members are polite and cautious storming includes conflict as members assert roles and norming establishes cohesion and norms but these stages do not reflect the high functionality and problem-solving described in the question.
Question 4 of 5
A nurse receives an order for blood urine stool and nasal cultures on a client with a high fever. Which prefix describes this order?
Correct Answer: D
Rationale: “Pan” indicates comprehensive testing across multiple sites (blood urine stool nasal) suggesting a broad infection workup. Macro (large) oligo (few) and mono (single) do not describe the inclusive nature of this order.
Question 5 of 5
An adult client is to receive ear drops four times a day to treat an inner ear infection. What is the correct nursing procedure to follow when administering this type of medication?
Correct Answer: C
Rationale: Pulling the auricle up and back straightens the ear canal in adults for effective ear drop administration ensuring medication reaches the inner ear. Down and back is for children pulling the earlobe post-instillation is unnecessary and microwaving risks burns.