ATI RN
ATI Nur 104 Fundamentals Final Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who ingested a poison and is now experiencing a seizure. Which of the following is the priority action the nurse should take?
Correct Answer: D
Rationale: Airway patency is the priority during a seizure to prevent asphyxiation. Positioning, poison type, and amount follow.
Question 2 of 5
A nurse is caring for a client who has a hip fracture that requires surgical repair. Which of the following health care professionals is responsible for obtaining informed consent from the client for the procedure?
Correct Answer: B
Rationale: The surgeon explains the procedure, risks, benefits, and alternatives, obtaining informed consent. Nurses witness signatures, and anesthesiologists handle anesthesia consent.
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 teaching a class about medication reconciliation. Which of the following information should the nurse include in the teaching?
Correct Answer: B
Rationale: Medication reconciliation at admission ensures an accurate list, including OTC drugs. It’s also needed at discharge, not shift reports.
Question 5 of 5
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?
Correct Answer: A
Rationale: Background includes medical history and code status. Charges, pressure readings, and Glasgow results belong to other SBAR segments.