Questions 49

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ATI RN Test Bank

ATI Nur 104 Fundamentals Final Exam Questions

Extract:


Question 1 of 5

A nurse is teaching a class on health promotion and illness prevention. The nurse should include that which of the following is an example of secondary prevention?

Correct Answer: D

Rationale: Breast self-exams are secondary prevention, aiming for early detection. Support groups and foot care are tertiary, stress reduction is primary.

Question 2 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.

Question 3 of 5

A nurse is preparing to administer Ringer's lactate 500 mL IV bolus to infuse over 3 hr. The drop factor of the manual IV tubing is 20 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer: 56

Rationale: Calculation: (500 mL / 3 hr) / 60 min * 20 gtt/mL = 55.6 gtt/min, rounded to 56 gtt/min.

Question 4 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 5 of 5

A nurse is teaching a client who has asthma about how to use an albuterol inhaler. Which of the following actions by the client indicates an understanding of the teaching?

Correct Answer: C

Rationale: Holding the breath for 10 seconds maximizes lung absorption. Waiting 10 min is too long, quick inhalation is ineffective, and exhaling during release wastes medication.

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