Questions 49

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ATI Nur 104 Fundamentals Final Exam Questions

Extract:


Question 1 of 5

A nurse is preparing to administer 0.45% sodium chloride (NaCl) 2000 mL IV to infuse over 8 hr. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer: 250

Rationale: Calculation: 2000 mL / 8 hr = 250 mL/hr. The nurse should set the IV pump to 250 mL/hr.

Question 2 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 3 of 5

A nurse is completing a client's history and physical examination. Which of the following information should the nurse consider subjective data?

Correct Answer: D

Rationale: Nausea is subjective, reported by the client. Petechiae, cyanosis, and blood pressure are objective, observable data.

Question 4 of 5

A nurse is creating a discharge plan. Which of the following nursing statements indicates the nurse understands when discharge planning should be implemented?

Correct Answer: B

Rationale: Discharge planning starts at admission to ensure a smooth transition. Waiting for insurance, orders, or 48 hours delays preparation.

Question 5 of 5

A nurse in a clinic is interviewing a client who will undergo diagnostic testing. The nurse should ask about a client's potential allergies during which phase of the nursing process?

Correct Answer: B

Rationale: Allergies are assessed during the assessment phase to ensure safe testing. Other phases follow.

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