ATI RN
ATI NUR 104 Final Assessment Fundamentals Questions
Extract:
A charge nurse is observing a newly licensed nurse administer medications to a client. Which of the following actions by the newly licensed nurse should prompt the charge nurse to intervene?
Question 1 of 5
Documents medication administration prior to administering it
Correct Answer: A
Rationale: The correct answer is A because it involves the crucial step of checking the provider's orders to confirm the correct dosage, which ensures the medication is administered accurately. Using a medication reference guide further validates the information. Scanning a barcode (choice
B) only confirms the client and medication match but does not verify the dosage. Verifying the medication against the prescription and label (choice
C) is important but may miss inaccuracies in the provider's order. The other choices (D, E, F, G) do not provide a comprehensive approach to ensuring the accurate administration of medication.
Extract:
A nurse on a medical unit is planning care for an older adult client who takes several medications. Which of the following prescribed medications places the client at risk for orthostatic hypotension? (Select all that apply.)
Question 2 of 5
Atorvastatin
Correct Answer: B,C,D
Rationale: The correct answer is B, C, and D. Atorvastatin is a statin used to lower cholesterol levels. Duloxetine is an antidepressant, unrelated to cholesterol. Furosemide is a diuretic, also unrelated. Clopidogrel is an antiplatelet medication, not used for cholesterol. Telmisartan is an angiotensin receptor blocker, not relevant.
Therefore, B, C, and D are the correct answers due to their unrelated mechanisms of action compared to atorvastatin.
Extract:
A hospice nurse is caring for a client who has terminal cancer and takes PO morphine for pain relief. The client reports that he had to increase the dose of morphine this week to obtain pain relief. Which of the following scenarios should the nurse document as the explanation for this situation?
Question 3 of 5
The client has not been taking the medication properly
Correct Answer: C
Rationale: The correct answer is C because the client experiencing episodes of confusion could indicate medication misuse or improper intake. This could lead to ineffective treatment and potential harm.
Choice A is incorrect as addiction typically involves compulsive drug-seeking behavior.
Choice B is incorrect because developing tolerance means the medication is less effective over time, not necessarily related to improper intake. The other choices are not relevant to the situation described.
Extract:
A nurse is administering an oral medication to an older adult client. The client states, 'The pill I always take is green. I don't take an orange pill.' Which of the following responses should the nurse make?
Question 4 of 5
I will check your medication order again
Correct Answer: A
Rationale: The correct answer is A because medication pills can come in different colors due to variations in manufacturers or formulations. Checking the medication order again ensures the correct pill is dispensed despite color differences.
Choice B focuses on explaining the purpose of the medication, which is not directly related to checking the order.
Choice C emphasizes the doctor's recommendation but doesn't address the issue of color variation.
Choices D, E, F, and G are not provided, so they are automatically incorrect.
Extract:
A nurse is receiving a provider's prescription for a client via telephone. Which of the following actions should the nurse take to ensure the accuracy of the telephone prescription? (Select all that apply.)
Question 5 of 5
Question any part of the order that is unclear or inappropriate
Correct Answer: A,D,E
Rationale: The correct answers are A, D, and E.
A: Transcribing the order into the client's health record ensures proper documentation and compliance.
D: Obtaining the provider's signature within 8 hours is crucial for legal and accountability purposes.
E: Ensuring that the order is clear, complete, and documented correctly is essential for patient safety and continuity of care.
B and C are incorrect because implementing a recorded order message or repeating the order back to the provider may not provide a legally documented record.