ATI RN
ATI Nur 104 Fundamentals Final Exam Questions
Extract:
Question 1 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 2 of 5
A nurse is reviewing a client's admission record. The nurse notes that there are prescriptions for several medications. Which of the following factors should the nurse recognize is of primary consideration when determining the schedule of administration?
Correct Answer: A
Rationale: Medication characteristics (e.g., half-life, absorption) dictate scheduling for efficacy. Policies, home schedules, and pharmacy availability are secondary.
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 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 5 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.