Questions 49

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ATI RN Test Bank

ATI Nur 104 Fundamentals Final Exam Questions

Extract:


Question 1 of 5

A nurse is administering timolol eye drops to a client who has glaucoma. Which of the following actions should the nurse take?

Correct Answer: D

Rationale: Instilling drops into the conjunctival sac ensures effective delivery. The dropper requires sterile technique, pressure is applied to the inner canthus, and wiping is inner to outer.

Question 2 of 5

A nurse is providing discharge teaching to a client who has a new prescription for a metered dose inhaler (MDI). Which of the following instructions should the nurse include in the teaching?

Correct Answer: C

Rationale: Waiting 2 min between inhalations ensures absorption. Shaking should be 5 seconds, rinsing uses water, and pressing twice is incorrect unless specified.

Question 3 of 5

A nurse is implementing direct nursing care for a group of clients in an acute care facility. Which of the following actions by the nurse is considered an indirect nursing care activity?

Correct Answer: A

Rationale: Assigning tasks to AP is indirect care, involving delegation. Guidance, length of stay, and diagnoses are direct or provider-driven activities.

Question 4 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 5 of 5

A nurse is creating a discharge plan. Which of the following nursing statements indicates the nurse understands when discharge planning should be implemented?

Correct Answer: B

Rationale: Discharge planning starts at admission to ensure a smooth transition. Waiting for insurance, orders, or 48 hours delays preparation.

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