ATI RN
ATI NUR 104 Final Assessment Fundamentals Questions
Extract:
A nurse in the medical-surgical unit is assigning client care to a nurse who is floating from the PACU. The nurse should recognize that the float nurse is most qualified to care for which of the following clients?
Question 1 of 5
A client who is being discharged to a long-term care facility
Correct Answer: D
Rationale: The PACU nurse is skilled in postoperative care, including chest tube management, making this client the best match. Other tasks require specialized teaching or discharge planning.
Extract:
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.)
Question 2 of 5
Correct Answer: 250
Rationale: Calculate: 2000 mL ÷ 8 hr = 250 mL/hr.
Extract:
A nurse is caring for a client who requires a medication that is packaged in a single dose glass ampule. Which of the following techniques should the nurse use when opening the glass ampule?
Question 3 of 5
Wear sterile gloves and break off the neck of the glass ampule with a single snap to the right side
Correct Answer: C
Rationale: Tapping the bottom and breaking the top away from the body with gauze minimizes injury and contamination. Other methods risk glass shards or unsafe handling.
Extract:
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?
Question 4 of 5
Glasgow results
Correct Answer: B
Rationale: Intracranial pressure readings provide relevant context for the client’s condition in the Background segment. Glasgow results belong in Assessment, code status may be included if relevant, and plan changes go in Recommendation.
Extract:
A nurse is documenting in a client's medical record. Which of the following abbreviations is appropriate for the nurse to use? (Select all that apply.)
Question 5 of 5
2 mg
Correct Answer: A,C,D
Rationale: A. 2 mg is acceptable as it uses standard metric units. C. 30 mL is appropriate for volume measurement. D. bid (twice a day) is generally acceptable, though 'twice a day' is preferred. B. MSO4 is not recommended due to confusion with magnesium sulfate. E. Q.D. risks confusion with QID, so 'daily' is preferred.