ATI RN
ATI Nur 104 Fundamentals Final Exam Questions
Extract:
Question 1 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.
Question 2 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 3 of 5
A nurse is caring for a client who has schizophrenia and is experiencing hallucinations. The provider prescribes chlorpromazine 50 mg IM every 4 hr as needed. Available is chlorpromazine injection 25 mg/mL. How many mL should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 2
Rationale: Calculation: 50 mg / 25 mg/mL = 2 mL. The nurse should administer 2 mL per dose.
Question 4 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 5 of 5
A nurse is orienting a newly licensed nurse about documentation of a client's information in the electronic health record. Which of the following statements by the newly licensed nurse indicates understanding of the purpose of documentation?
Correct Answer: B
Rationale: Documentation communicates client condition and care among the healthcare team, ensuring continuity. It’s not primarily for monitoring nurses, financial charges, or audits.