ATI RN
ATI Nur 104 Fundamentals Final Exam Questions
Extract:
Question 1 of 5
A nurse is preparing to administer medications to a client who states, 'I don't want to take those drugs.' Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Tell the client the physician wants him to take the medications: This response does not address the client’s concerns or autonomy. It is important to respect the client’s right to make decisions about their care, and simply telling them what the physician wants does not foster an open dialogue.Ask the client why he is refusing to take the medications: This is the most appropriate action. The nurse should assess the reason for the client's refusal to better understand the underlying concerns or misconceptions. This can help the nurse address any fears, misunderstandings, or barriers to medication adherence.Explain the purpose for the medications: While this is a good action, it is more effective after understanding why the client is refusing. Simply explaining the medication may not resolve the client's concerns if they have specific reasons for refusal.Document that the client refuses the medications: Documentation is important but should not be the first step. The nurse should first try to understand the client’s reasons for refusal and address them before documenting.
Question 2 of 5
A nurse is teaching the parents of a child who is to start using a metered-dose inhaler (MDI) to treat asthma. Which of the following information should the nurse include in the teaching?
Correct Answer: B
Rationale: A spacer enhances lung delivery by reducing oropharyngeal deposition. Exhalation slots stay open, and inhalation is slow.
Question 3 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 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 is caring for a client who ingested a poison and is now experiencing a seizure. Which of the following is the priority action the nurse should take?
Correct Answer: D
Rationale: Airway patency is the priority during a seizure to prevent asphyxiation. Positioning, poison type, and amount follow.