ATI RN
ATI Nur 104 Fundamentals Final Exam Questions
Extract:
Question 1 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 2 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.
Question 3 of 5
A nurse is planning to administer ceftriaxone IM to an adult client. Which of the following actions should the nurse plan to take?
Correct Answer: A
Rationale: Ceftriaxone requires Z-track to prevent tissue irritation. Ventrogluteal or vastus lateralis sites, 90° angle, and 1-1.5 inch needles are preferred.
Question 4 of 5
A nurse is teaching a class on health promotion and illness prevention. The nurse should include that which of the following is an example of secondary prevention?
Correct Answer: D
Rationale: Breast self-exams are secondary prevention, aiming for early detection. Support groups and foot care are tertiary, stress reduction is primary.
Question 5 of 5
A nurse on a medical unit is planning care for an older adult client who takes several medications. Which of the following prescribed medications places the client at risk for orthostatic hypotension? (Select all that apply.)
Correct Answer: A,B,D
Rationale: Furosemide (diuretic), Telmisartan (AR
B), and Duloxetine (antidepressant) can lower BP, increasing orthostatic hypotension risk. Atorvastatin and Clopidogrel don’t typically cause this.