ATI RN
ATI Nur 104 Fundamentals Final Exam Questions
Extract:
Question 1 of 5
A nurse is administering an oral medication to an older adult client. The client states, 'The pill I always take is green. I don't take an orange pill.' Which of the following responses should the nurse make?
Correct Answer: D
Rationale: Verifying the medication order ensures safety, addressing the client’s concern about the pill’s appearance.
Question 2 of 5
A nurse is administering several medications via a client's gastrostomy tube. At which of the following times should the nurse instill 15 to 30 mL of warm water? (Select all that apply.)
Correct Answer: B,C,E
Rationale: Instilling water before and after each medication and after all medications ensures tube patency and prevents clogging. Water before aspiration interferes with residual checks, and slow flow requires tube assessment.
Question 3 of 5
A nurse is completing the initial admission assessment and history for a client. Which of the following is the priority action for the nurse to take?
Correct Answer: C
Rationale: Documenting allergies prevents adverse reactions, a safety priority. Visiting hours, care plans, and teaching follow.
Question 4 of 5
A nurse is reviewing information about the Health Insurance Portability and Accountability Act (HIPAA) with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates a need for further teaching?
Correct Answer: B
Rationale: Disclosing client information to family without consent violates HIPAA. Other statements are correct.
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.