ATI RN
ATI N103N103 Fundamentals Final Exam Questions
Extract:
Question 1 of 5
Which clinical manifestation is most reflective of an early response to hypoxia?
Correct Answer: A
Rationale: Restlessness is an early sign of hypoxia as the brain responds to low oxygen levels with agitation. Cyanosis, apnea, and bradycardia are later signs, occurring after prolonged oxygen deprivation.
Question 2 of 5
A nurse is caring for a client who is confused and uncooperative. The client hit the nurse when they attempted to give them their medication. The nurse asks the charge nurse if she can apply restraints on the client. The charge nurse should explain to the nurse this action is a violation of the client’s rights and is an example of which tort?
Correct Answer: D
Rationale: Applying restraints without justification constitutes false imprisonment violating client rights. Defamation (
A) invasion of privacy (
B) and slander (
C) are unrelated to unauthorized restraint use.
Question 3 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.
Question 4 of 5
A nurse is caring for an elderly client diagnosed with a urinary tract infection (UTI). The family reports an abrupt onset of altered mental status disorientation and intermittent hallucinations. The nurse would identify these signs to be consistent with which sensory alteration?
Correct Answer: D
Rationale: Delirium is characterized by sudden onset of confusion disorientation and hallucinations often triggered by acute conditions like a UTI in elderly clients. Sleep deprivation (
A) normal aging (
B) and dementia (
C) typically present with gradual or less acute symptoms.
Question 5 of 5
A client wants to start doing magnet therapy. The nurse should explain to the client, which would be a contraindication for the use of magnet therapy?
Correct Answer: B
Rationale: Pacemakers are contraindicated for magnet therapy due to potential interference with device function. Hypothyroidism, narcolepsy, and catheters do not interact with magnetic fields.