ATI RN
ATI Nur 104 Fundamentals Final Exam Questions
Extract:
Question 1 of 5
A nurse is planning to administer an IM injection into a client's deltoid muscle. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The deltoid accommodates <2 mL to prevent complications. A 22-25 gauge needle, 3-5 cm below the acromion, and 90° angle are standard, but volume is key.
Question 2 of 5
A nurse is receiving a provider's prescription for a client via telephone. Which of the following actions should the nurse take to ensure the accuracy of the telephone prescription? (Select all that apply.)
Correct Answer: A,B,D
Rationale: Questioning unclear orders, transcribing accurately, and repeating back ensure accuracy. Signature timing varies by policy, and recording isn’t standard.
Question 3 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 4 of 5
A nurse is preparing to transfuse one unit of packed RBC to a client who experienced a mild allergic reaction during a previous transfusion. The nurse should administer diphenhydramine prior to the transfusion for which of the following allergic responses?
Correct Answer: B
Rationale: Diphenhydramine prevents urticaria (hives), a mild allergic reaction. Hemolysis, fever, and fluid overload are unrelated to antihistamines.
Question 5 of 5
A nurse assumes a variety of roles while working with clients. Which of the following describes the nursing role of protecting the client and supporting the client's decisions?
Correct Answer: C
Rationale: The advocate role protects client rights and supports their decisions. Educators teach, managers coordinate, and caregivers provide direct care.