ATI RN
ATI N103N103 Fundamentals Final Exam Questions
Extract:
Question 1 of 5
Which nutrient is most effective for a client to consume to maintain healthy bowel elimination?
Correct Answer: D
Rationale: Fiber is essential for healthy bowel elimination as it adds bulk to stool and promotes regular movements. Fats, proteins, and minerals do not have the same direct impact on bowel function.
Question 2 of 5
A nurse is monitoring the urinary output of a client who had a colon resection. Which 24-hour output total indicates oliguria?
Correct Answer: A
Rationale: Oliguria is defined as <400-500 mL urine output per 24 hours. 380 mL (
A) meets this criterion while 550 mL (
B) 600 mL (
C) and 720 mL (
D) are above the threshold.
Question 3 of 5
A nurse is performing tracheostomy care for a client and suctioning to remove secretions. Which of the following actions should the nurse take FIRST?
Correct Answer: C
Rationale: Preoxygenation with 100% oxygen prevents hypoxia during suctioning which temporarily reduces oxygen levels. Lubricating the catheter (
A) chest physiotherapy (
B) and suctioning passes (
D) are subsequent steps.
Question 4 of 5
A nurse is assessing a client’s cranial nerves. Which methods should the nurse use to assess cranial nerve V?
Correct Answer: A
Rationale: Cranial nerve V (trigeminal) is assessed by testing motor function (clenching teeth to evaluate masseter/temporalis strength) and sensory function (light touch on facial areas). Clenching teeth (
B) assesses motor function but sensory assessment is also required for a complete evaluation making A (clench teeth and assess sensation) the standard. Listening to speech (
A) reading a Snellen chart (
C) and raising eyebrows (
D) assess other cranial nerves.
Question 5 of 5
A nurse is assessing a client who is receiving a unit of packed RBCs. The client appears flushed and reports low-back pain. After stopping the transfusion, which intervention is important to complete FIRST?
Correct Answer: D
Rationale: Keeping the IV line open with 0.9% normal saline through new tubing is the first priority to maintain access for emergency treatments. This ensures hydration and readiness for medications, preceding provider notification, blood bank reporting, or urine collection.