ATI RN
ATI NUR 104 Final Assessment Fundamentals Questions
Extract:
A charge nurse is observing a newly licensed nurse administer medications to a client. Which of the following actions by the newly licensed nurse should prompt the charge nurse to intervene?
Question 1 of 5
Documents medication administration prior to administering it
Correct Answer: A
Rationale: Documenting before administering risks errors if administration fails. Other actions are correct safety practices.
Extract:
A nurse is caring for a client who requires a medication that is packaged in a single dose glass ampule. Which of the following techniques should the nurse use when opening the glass ampule?
Question 2 of 5
Wear sterile gloves and break off the neck of the glass ampule with a single snap to the right side
Correct Answer: C
Rationale: Tapping the bottom and breaking the top away from the body with gauze minimizes injury and contamination. Other methods risk glass shards or unsafe handling.
Extract:
A nurse is preparing to administer medications to a client who states, 'I don't want to take those drugs.' Which of the following actions should the nurse take?
Question 3 of 5
Tell the client the physician wants him to take the medications
Correct Answer: D
Rationale: Explaining the purpose of the medications informs the client, potentially resolving concerns. Other actions may follow but are not the initial step.
Extract:
A nurse is completing a client's history and physical examination. Which of the following information should the nurse consider subjective data?
Question 4 of 5
Nausea
Correct Answer: A
Rationale: Nausea is subjective, reported by the client. Petechiae, blood pressure, and cyanosis are objective, observable, or measurable.
Extract:
A nurse is creating a discharge plan. Which of the following nursing statements indicates the nurse understands when discharge planning should be implemented?
Question 5 of 5
I will begin upon the client's admission to the facility.
Correct Answer: A
Rationale: Discharge planning should begin at admission to ensure comprehensive preparation. Waiting for orders, insurance approval, or 48 hr prior is too late.