ATI RN
ATI NUR 104 Final Assessment Fundamentals Questions
Extract:
A nurse is planning to administer ceftriaxone IM to an adult client. Which of the following actions should the nurse plan to take?
Question 1 of 5
Administer the medication using a Z-track technique
Correct Answer: A
Rationale: The Z-track technique prevents leakage and irritation for ceftriaxone. A longer needle, ventrogluteal site, and 90° angle are appropriate.
Extract:
A nurse assumes a variety of roles while working with clients. Which of the following describes the nursing role of protecting the client and supporting the client's decisions?
Question 2 of 5
Educator
Correct Answer: B
Rationale: Advocate involves protecting client rights and supporting their decisions. Educator focuses on teaching, Caregiver on direct care, and Manager on care coordination, none of which prioritize advocacy.
Extract:
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?
Question 3 of 5
Hemolysis
Correct Answer: B
Rationale: Diphenhydramine prevents urticaria (hives), a mild allergic reaction. Hemolysis, fever, and fluid overload require different management.
Extract:
A nurse is providing discharge teaching to a client who has a new prescription for a metered dose inhaler (MDI). Which of the following instructions should the nurse include in the teaching?
Question 4 of 5
Shake the inhaler for 3 to 5 seconds
Correct Answer: B
Rationale: Waiting 2 minutes between inhalations allows medication to work effectively. Shaking is typically 5 seconds, pressing twice is incorrect, and rinsing with water (not mouthwash) is advised for corticosteroids.
Extract:
A nurse is administering timolol eye drops to a client who has glaucoma. Which of the following actions should the nurse take?
Question 5 of 5
Drop prescribed amount of medication into the conjunctival sac
Correct Answer: A
Rationale: Dropping medication into the conjunctival sac ensures proper absorption. Protecting the eyedropper is secondary, pressure on the nose is incorrect, and wiping should be inner to outer canthus.