Questions 38

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ATI NUR 104 Final Assessment Fundamentals Questions

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 1 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 documenting in a client's medical record. Which of the following abbreviations is appropriate for the nurse to use? (Select all that apply.)


Question 2 of 5

2 mg

Correct Answer: A,C,D

Rationale: A. 2 mg is acceptable as it uses standard metric units. C. 30 mL is appropriate for volume measurement. D. bid (twice a day) is generally acceptable, though 'twice a day' is preferred. B. MSO4 is not recommended due to confusion with magnesium sulfate. E. Q.D. risks confusion with QID, so 'daily' is preferred.

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 3 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 creating a discharge plan. Which of the following nursing statements indicates the nurse understands when discharge planning should be implemented?


Question 4 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.

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 5 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.

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