ATI RN
ATI NUR 104 Final Assessment Fundamentals Questions
Extract:
A nurse is preparing to administer Ringer's lactate 500 mL IV bolus to Infuse over 3 hr. The drop factor of the manual IV tubing is 20 gtt/mL. The nurse should set the manual IV Infusion to deliver how many gtt/min? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Question 1 of 5
Correct Answer: 56
Rationale: Calculate: (500 mL ÷ 180 min) × 20 gtt/mL = 55.6 gtt/min, rounded to 56 gtt/min.
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 2 of 5
The client has not been taking the medication properly
Correct Answer: C
Rationale:
Tolerance, requiring higher doses for the same effect, explains the need for increased morphine. Addiction involves compulsive use, not dose increase, and other options are unrelated.
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 3 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 reviewing a client's admission record. The nurse of several medications. Which of the following factors should the nurse recognize is of primary consideration when determining the schedule of administration?
Question 4 of 5
Specific characteristics of the medications
Correct Answer: A
Rationale: Medication characteristics, such as pharmacokinetics and food requirements, dictate the administration schedule for safety and efficacy. Pharmacy availability, policies, and home schedules are secondary.
Extract:
A nurse is caring for a client who is scheduled for an elective surgical procedure. Which of the following actions should the nurse take regarding informed consent?
Question 5 of 5
Explain the risks and benefits of the procedure
Correct Answer: B
Rationale: The nurse witnesses the client’s signature, confirming voluntary consent. Explaining risks, obtaining consent, or explaining the procedure is the provider’s role.