ATI RN
ATI Nur 104 Fundamentals Final Exam Questions
Extract:
Question 1 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 2 of 5
A client receives a wrong medication. The nurse who made the medication error should take which of the following actions first?
Correct Answer: D
Rationale: Assessing the client ensures safety by identifying adverse effects. Notifying others and reporting follow.
Question 3 of 5
A nurse is prioritizing care for two clients at the start of the shift. The first client, who is 1 day postoperative following a partial bowel resection, requires a dressing change, total parenteral nutrition administration, and reports a pain level of 6 on a scale from 0 to 10. The second client, who has a newly inserted percutaneous gastrostomy tube, requires a tube feeding, dressing change, and daily weight. Which of the following nursing actions should the nurse plan to complete first?
Correct Answer: C
Rationale: Pain level 6 requires prompt medication to enhance comfort and recovery. Weighing, vital signs, and dressings are less urgent.
Question 4 of 5
A nurse accidentally administers the wrong medication to a client, which results in a severe allergic reaction and prolongs the client's hospitalization. The client could rightfully sue the nurse for which of the following?
Correct Answer: A
Rationale: Administering the wrong medication is professional negligence, constituting malpractice. Battery, abuse, and assault involve intentional harm or threat, not applicable here.
Question 5 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.