ATI RN
ATI Nur 104 Fundamentals Final Exam Questions
Extract:
Question 1 of 5
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?
Correct Answer: A
Rationale:
Tolerance, requiring higher doses for effect, is common with opioids like morphine. Improper use, confusion, or addiction lack evidence here.
Question 2 of 5
A nurse is teaching a newly licensed nurse about transcribing prescriptions. Which of the following examples should the nurse include in the instructions?
Correct Answer: D
Rationale: Losartan 50.0 mg. PO. QD: This prescription is incorrect due to the use of an unnecessary period after "50.0 mg" and the trailing zero after the decimal point. It should be written as "50 mg" to avoid potential errors.Metformin 500mg, 1 tablet, PO. daily: While the prescription is mostly correct, "PO" should not have a period after it, and "daily" should be written as "QD" (quaque die), which is the standard abbreviation for once a day.Desmopressin 1 ml, intranasal, gd: The abbreviation "gd" is not a standard or recognized abbreviation, which could lead to confusion. Proper abbreviations and clarity are essential for medication safety.Zolpidem, 5 mg PO, HS: This is the correct format for transcribing a prescription. It includes the medication name, dosage, route, and time of administration (HS, meaning at bedtime). This is a clear and standardized way of writing a prescription.
Question 3 of 5
A nurse is teaching the parents of a child who is to start using a metered-dose inhaler (MDI) to treat asthma. Which of the following information should the nurse include in the teaching?
Correct Answer: B
Rationale: A spacer enhances lung delivery by reducing oropharyngeal deposition. Exhalation slots stay open, and inhalation is slow.
Question 4 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 5 of 5
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?
Correct Answer: B
Rationale: Diphenhydramine prevents urticaria (hives), a mild allergic reaction. Hemolysis, fever, and fluid overload are unrelated to antihistamines.