Questions 49

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ATI Nur 104 Fundamentals Final Exam Questions

Extract:


Question 1 of 5

A nurse is preparing to administer oral medications to a client. Which of the following should the nurse recognize as an acceptable client identifier? (Select all that apply.)

Correct Answer: B

Rationale: Client’s full name is an acceptable identifier. Room numbers, provider names, and partner names are unreliable.

Question 2 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 3 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.

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 administering an oral medication to an older adult client. The client states, 'The pill I always take is green. I don't take an orange pill.' Which of the following responses should the nurse make?

Correct Answer: D

Rationale: Verifying the medication order ensures safety, addressing the client’s concern about the pill’s appearance.

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