ATI RN
ATI Nur 104 Fundamentals Final Exam Questions
Extract:
Question 1 of 5
A nurse is preparing to instill ear drops to a 3-year-old child. Which of the following techniques should the nurse use?
Correct Answer: B
Rationale: For children under 3, pulling the auricle down and back straightens the ear canal. Other techniques suit older children or adults.
Question 2 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.
Question 3 of 5
A nurse is administering timolol eye drops to a client who has glaucoma. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Instilling drops into the conjunctival sac ensures effective delivery. The dropper requires sterile technique, pressure is applied to the inner canthus, and wiping is inner to outer.
Question 4 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 5 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.