ATI RN
ATI Nur 104 Fundamentals Final Exam Questions
Extract:
Question 1 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 2 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.
Question 3 of 5
A nurse is caring for a client who requires a medication that is packaged in a single-dose glass ampule. Which of the following techniques should the nurse use when opening the glass ampule?
Correct Answer: B
Rationale: Wear sterile gloves and break off the neck of the glass ampule with a single snap to the right side: While wearing sterile gloves is recommended, breaking the ampule to the right side is not a standard or safe practice. The ampule should be broken in a forward motion, away from the body.Tap the bottom of the ampoule, place a gauze pad around the ampule neck, and break off the bottom with a forward motion away from the body: This is the correct technique for opening a glass ampule. Tapping the bottom ensures that the liquid is settled away from the neck, and using a gauze pad around the neck provides protection from glass shards. The ampule should be broken away from the body to prevent injury.Wear sterile gloves and break off the neck of the glass ampule with a single snap in a downward motion: Breaking the ampule in a downward motion is not the recommended technique, as it could cause injury or spill the medication. The correct method is to break it away from the body in a forward motion.Tap the top of the ampule, place a sterile gauze pad around the ampule neck, and break off the top by bending it toward the body: Tapping the top is incorrect, as it could cause the medication to spill. The correct technique is to tap the bottom of the ampule. Additionally, the ampule should be broken away from the body, not toward it.
Question 4 of 5
A nurse is reviewing a client's admission record. The nurse notes that there are prescriptions for several medications. Which of the following factors should the nurse recognize is of primary consideration when determining the schedule of administration?
Correct Answer: A
Rationale: Medication characteristics (e.g., half-life, absorption) dictate scheduling for efficacy. Policies, home schedules, and pharmacy availability are secondary.
Question 5 of 5
A nurse is caring for a client whose family is in a state of disagreement over the care of their family member. The nurse should report the situation to which of the following facility personnel?
Correct Answer: A
Rationale: The ethics committee addresses family disagreements over care. Administrators handle operations, education specialists train staff, and quality committees focus on process improvement.