Questions 49

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ATI Nur 104 Fundamentals Final Exam Questions

Question 1 of 5

A nurse is creating a discharge plan. Which of the following nursing statements indicates the nurse understands when discharge planning should be implemented?

Correct Answer: B

Rationale: Discharge planning starts at admission to ensure a smooth transition. Waiting for insurance, orders, or 48 hours delays preparation.

Question 2 of 5

A nurse is giving change-of-shift report using SBAR to the oncoming nurse on a client who has a traumatic brain injury. Which of the following information should the nurse include in the background segment of SBAR?

Correct Answer: A

Rationale: Background includes medical history and code status. Charges, pressure readings, and Glasgow results belong to other SBAR segments.

Question 3 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: Sharing lab findings with family without consent violates confidentiality. Discussing with a nurse manager or provider is part of care, and identifying a client for referrals is acceptable if secure.

Question 4 of 5

A nurse administers an incorrect medication to a client. Following an assessment of the client, the nurse determines that the client has experienced no untoward effects as a result of the medication. The nurse does not complete an incident report because no harm came to the client. Which of the following ethical principles did the nurse violate?

Correct Answer: D

Rationale: Failing to report the error violates veracity (truthfulness). Incident reports ensure transparency, even without harm.

Question 5 of 5

A nurse is reviewing a client's admission record. The nurse notes that there are prescriptions for several medications. Which of the following factors should the nurse recognize is of primary consideration when determining the schedule of administration?

Correct Answer: A

Rationale: Medication characteristics (e.g., half-life, absorption) dictate scheduling for efficacy. Policies, home schedules, and pharmacy availability are secondary.

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