ATI RN
ATI NUR 104 Final Assessment Fundamentals Questions
Extract:
A nurse is preparing to transfuse one unit of packed RBC to a client who experienced a mild allergic reaction during a previous transfusion. The nurse should administer diphenhydramine prior to the transfusion for which of the following allergic responses?
Question 1 of 5
Hemolysis
Correct Answer: B
Rationale: Diphenhydramine prevents urticaria (hives), a mild allergic reaction. Hemolysis, fever, and fluid overload require different management.
Extract:
A nurse is receiving change-of-shift report for a group of assigned clients. The nurse anticipates which of the following activities first in delivering client care using the nursing process?
Question 2 of 5
Collect and organize client data
Correct Answer: A
Rationale: Collecting and organizing data is the first step in the nursing process, enabling subsequent analysis, planning, and evaluation.
Extract:
A nurse is caring for a client who has a hip fracture that requires surgical repair. Which of the following health care professionals is responsible for obtaining informed consent from the client for the procedure?
Question 3 of 5
Surgeon
Correct Answer: A
Rationale: The surgeon is responsible for obtaining informed consent, explaining risks, benefits, and alternatives. Other roles may assist or educate but do not obtain consent.
Extract:
A nurse is completing a client's history and physical examination. Which of the following information should the nurse consider subjective data?
Question 4 of 5
Nausea
Correct Answer: A
Rationale: Nausea is subjective, reported by the client. Petechiae, blood pressure, and cyanosis are objective, observable, or measurable.
Extract:
A nurse assumes a variety of roles while working with clients. Which of the following describes the nursing role of protecting the client and supporting the client's decisions?
Question 5 of 5
Educator
Correct Answer: B
Rationale: Advocate involves protecting client rights and supporting their decisions. Educator focuses on teaching, Caregiver on direct care, and Manager on care coordination, none of which prioritize advocacy.