ATI RN
ATI Nur 104 Fundamentals Final Exam Questions
Extract:
Question 1 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 2 of 5
A nurse administers an incorrect medication to a client. Following an assessment of the client, the nurse determines that the client has experienced no untoward effects as a result of the medication. The nurse does not complete an incident report because no harm came to the client. Which of the following ethical principles did the nurse violate?
Correct Answer: D
Rationale: Failing to report the error violates veracity (truthfulness). Incident reports ensure transparency, even without harm.
Question 3 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 4 of 5
A nurse is administering several medications via a client's gastrostomy tube. At which of the following times should the nurse instill 15 to 30 mL of warm water? (Select all that apply.)
Correct Answer: B,C,E
Rationale: Instilling water before and after each medication and after all medications ensures tube patency and prevents clogging. Water before aspiration interferes with residual checks, and slow flow requires tube assessment.
Question 5 of 5
A nurse is documenting in a client's medical record. Which of the following abbreviations is appropriate for the nurse to use? (Select all that apply.)
Correct Answer: C,D,E
Rationale: ‘2 mg,’ ‘39 mL,’ and ‘bid’ (twice daily) are safe abbreviations. ‘MS04’ and ‘Q D’ risk errors and are discouraged.