ATI RN
ATI Nur 104 Fundamentals Final Exam Questions
Extract:
Question 1 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 2 of 5
A nurse in a long-term care facility is planning care for several clients. Which of the following activities should the nurse delegate to the licensed practical nurse (LPN)?
Correct Answer: D
Rationale: Teaching a client insulin injection technique: This task requires the knowledge and judgment of a registered nurse (RN), as it involves patient education on complex tasks such as insulin administration.Scheduling a diagnostic study for a client: This is typically handled by the RN or administrative staff, as it involves coordination and planning, not direct patient care.Admission assessment of a new client: The admission assessment is a comprehensive process that requires the RN’s expertise to develop a plan of care based on the assessment findings, making it inappropriate to delegate to an LPN.Evaluating changes to a client's pressure ulcer: This task is appropriate for an LPN to handle. LPNs are trained to assess and monitor changes in client conditions, including evaluating the status of pressure ulcers, but would not make complex decisions or create a comprehensive care plan.
Question 3 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 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 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.