ATI RN
ATI Nur 104 Fundamentals Final Exam Questions
Extract:
Question 1 of 5
A nurse is completing a client's history and physical examination. Which of the following information should the nurse consider subjective data?
Correct Answer: D
Rationale: Nausea is subjective, reported by the client. Petechiae, cyanosis, and blood pressure are objective, observable data.
Question 2 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 3 of 5
A nurse is documenting in a client's medical record. Which of the following abbreviations is appropriate for the nurse to use? (Select all that apply.)
Correct Answer: C,D,E
Rationale: ‘2 mg,’ ‘39 mL,’ and ‘bid’ (twice daily) are safe abbreviations. ‘MS04’ and ‘Q D’ risk errors and are discouraged.
Question 4 of 5
A nurse is caring for a client who has schizophrenia and is experiencing hallucinations. The provider prescribes chlorpromazine 50 mg IM every 4 hr as needed. Available is chlorpromazine injection 25 mg/mL. How many mL should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 2
Rationale: Calculation: 50 mg / 25 mg/mL = 2 mL. The nurse should administer 2 mL per dose.
Question 5 of 5
A nurse in the medical-surgical unit is assigning client care to a nurse who is floating from the PACU. The nurse should recognize that the float nurse is most qualified to care for which of the following clients?
Correct Answer: A
Rationale: PACU nurses excel in postoperative care, like managing chest tubes post-lobectomy. Teaching and discharge planning require specialized skills.