ATI RN
ATI NUR 104 Final Assessment Fundamentals Questions
Extract:
A nurse in a long-term care facility is planning care for several clients. Which of the following activities should the nurse delegate to the licensed practical nurse (LPN)?
Question 1 of 5
Admission assessment of a new client
Correct Answer: B
Rationale: Scheduling a diagnostic study is administrative and suitable for an LPN. Assessments, teaching, and evaluations require RN judgment.
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 2 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 hospice nurse is caring for a client who has terminal cancer and takes PO morphine for pain relief. The client reports that he had to increase the dose of morphine this week to obtain pain relief. Which of the following scenarios should the nurse document as the explanation for this situation?
Question 3 of 5
The client has not been taking the medication properly
Correct Answer: C
Rationale:
Tolerance, requiring higher doses for the same effect, explains the need for increased morphine. Addiction involves compulsive use, not dose increase, and other options are unrelated.
Extract:
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?
Question 4 of 5
Administer pain medication to the first client
Correct Answer: A
Rationale: Administering pain medication to the postoperative client with a pain level of 6 is the priority to enhance comfort and recovery. Weighing, dressing changes, and vital signs are less urgent.
Extract:
A client receives the wrong medication. The nurse who made the medication error should take which of the following actions first?
Question 5 of 5
Notify the nurse manager
Correct Answer: C
Rationale: Assessing the client first ensures no immediate harm from the error. Notification and reporting follow.