ATI RN
ATI Nur 104 Fundamentals Final Exam Questions
Question 1 of 5
A nurse is caring for a client who has schizophrenia and is experiencing hallucinations. The provider prescribes chlorpromazine 50 mg IM every 4 hr as needed. Available is chlorpromazine injection 25 mg/mL. How many mL should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 2
Rationale:
Rationale:
To calculate the mL of chlorpromazine to administer, divide the prescribed dose (50 mg) by the concentration of the injection (25 mg/mL). 50 mg ÷ 25 mg/mL = 2 mL. So, the nurse should administer 2 mL per dose. The correct answer is 2 because it is the result of the calculation based on the prescribed dose and the concentration of the injection.
Choice A: Incorrect. This choice is blank and does not provide any information.
Choice B: Incorrect. This choice does not provide any information related to the calculation of the dose.
Choice C: Incorrect. This choice does not contain the correct calculation required to determine the mL to administer.
Choice D: Incorrect. This choice does not offer any relevant information to solve the problem.
Choice E: Incorrect. This choice is empty and does not provide any relevant details.
Choice F: Incorrect. This choice does not offer any guidance on how to calculate the correct dose.
Choice G:
Question 2 of 5
A nurse is giving a presentation about client confidentiality to a group of newly licensed nurses. Which of the following actions is an example of a violation of confidentiality?
Correct Answer: A
Rationale: The correct answer is A: Reporting laboratory findings to a member of the client's family. This violates client confidentiality as it discloses sensitive health information without the client's consent. Family members are not automatically authorized to receive such information. Discussing a client's surgical procedure with the nurse manager (
B) is appropriate within the healthcare team. Notifying the provider of physical examination findings (
C) is part of the standard communication process in healthcare. Identifying the client by name when making a referral for home health services (
D) is necessary for continuity of care and is not a breach of confidentiality.
Question 3 of 5
A nurse is caring for a client whose family is in a state of disagreement over the care of their family member. The nurse should report the situation to which of the following facility personnel?
Correct Answer: A
Rationale: The correct answer is A: Hospital ethics committee. The ethics committee is the appropriate personnel to handle disagreements regarding patient care as they provide ethical guidance and decision-making support. They can facilitate discussions among the family members and healthcare team to ensure the best interest of the patient. Reporting to the hospital administrator (
B) may not address the ethical aspect of the situation. The clinical education specialist (
C) focuses on staff education, not resolving family disputes. The quality improvement committee (
D) deals with improving processes, not ethical dilemmas in patient care.
Therefore, option A is the most suitable choice in this scenario.
Question 4 of 5
A nurse is administering several medications via a client's gastrostomy tube. At which of the following times should the nurse instill 15 to 30 mL of warm water? (Select all that apply.)
Correct Answer: B,C,E
Rationale: The correct times to instill warm water into a client's gastrostomy tube are before administering each medication (
Choice
B), after each medication (
Choice
C), and after giving multiple medications (
Choice E). This helps prevent tube blockage, ensures proper medication delivery, and promotes tube patency. Before administering each medication, warm water helps clear any residual medication or debris from the tube. After each medication, it flushes the tube to prevent clogging. Finally, after giving multiple medications, it ensures all medications are properly delivered and prevents buildup in the tube.
Choices A and D are incorrect because warm water should not be instilled before aspirating gastric contents or when the flow of medication slows.
Question 5 of 5
A nurse is preparing to administer 0.45% sodium chloride (NaCl) 2000 mL IV to infuse over 8 hr. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 250
Rationale:
To calculate the rate of IV infusion, divide the total volume (2000 mL) by the total time in hours (8 hrs). 2000 mL ÷ 8 hrs = 250 mL/hr. This is the correct answer (
Choice
A). Setting the IV pump to deliver 250 mL/hr ensures the proper administration of the fluid over the specified time frame.
Incorrect choices:
B. 125 mL/hr: This would result in the infusion taking twice as long as intended.
C. 300 mL/hr: This would result in the infusion being completed faster than desired.
D. 150 mL/hr: This would result in the infusion taking longer than intended.
E. 350 mL/hr: This rate would be too fast for the 0.45% NaCl solution.
F. 200 mL/hr: This would not deliver the correct amount over 8 hours.
G. 275 mL/hr: This rate is slightly higher than the correct rate of 250 mL/hr.