ATI RN
ATI NUR 104 Final Assessment Fundamentals Questions
Extract:
A nurse on a medical unit is planning care for an older adult client who takes several medications. Which of the following prescribed medications places the client at risk for orthostatic hypotension? (Select all that apply.)
Question 1 of 5
Atorvastatin
Correct Answer: B,C,D
Rationale: Telmisartan (AR
B), Duloxetine (SNRI), and Furosemide (diuretic) can cause orthostatic hypotension. Atorvastatin and Clopidogrel do not.
Extract:
A nurse is preparing to instill ear drops to a 3-year-old child. Which of the following techniques should the nurse use?
Question 2 of 5
Pull the auricle down and out
Correct Answer: A
Rationale: For a child under 3, pulling the auricle down and out straightens the ear canal. Up and back is for older children, and other options are incorrect.
Extract:
A nurse is receiving change-of-shift report for a group of assigned clients. The nurse anticipates which of the following activities first in delivering client care using the nursing process?
Question 3 of 5
Collect and organize client data
Correct Answer: A
Rationale: Collecting and organizing data is the first step in the nursing process, enabling subsequent analysis, planning, and evaluation.
Extract:
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?
Question 4 of 5
Documentation provides information for a client audit
Correct Answer: C
Rationale: Documentation communicates client care to the healthcare team, ensuring continuity. Audits, monitoring, and financial charges are secondary or incorrect.
Extract:
A nurse is giving a presentation about client confidentiality to a group of newly licensed nurses. Which of the following actions is an example of a violation of confidentiality?
Question 5 of 5
Identifying the client by name when making a referral for home health services
Correct Answer: B
Rationale: Reporting lab findings to family without consent violates confidentiality. Referrals, discussions with the nurse manager, and provider notifications are permissible for care coordination.