ATI RN
ATI Nur 104 Fundamentals Final Exam Questions
Extract:
Question 1 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 2 of 5
A nurse is preparing to administer a rectal suppository to a client. In which of the following positions should the nurse place the client for insertion of the suppository?
Correct Answer: B
Rationale: Sim’s position (left side, right knee bent) facilitates rectal access. Prone, right side, and supine are less effective.
Question 3 of 5
A nurse in a clinic is interviewing a client who will undergo diagnostic testing. The nurse should ask about a client's potential allergies during which phase of the nursing process?
Correct Answer: B
Rationale: Allergies are assessed during the assessment phase to ensure safe testing. Other phases follow.
Question 4 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.
Question 5 of 5
A nurse is planning to administer an IM injection into a client's deltoid muscle. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The deltoid accommodates <2 mL to prevent complications. A 22-25 gauge needle, 3-5 cm below the acromion, and 90° angle are standard, but volume is key.