ATI RN
ATI NUR 104 Final Assessment Fundamentals Questions
Extract:
A nurse is giving change-of-shift report using SBAR to the oncoming nurse on a client who has a traumatic brain injury. Which of the following information should the nurse include in the background segment of SBAR?
Question 1 of 5
Glasgow results
Correct Answer: B
Rationale: Intracranial pressure readings provide relevant context for the client’s condition in the Background segment. Glasgow results belong in Assessment, code status may be included if relevant, and plan changes go in Recommendation.
Extract:
A nurse is reviewing a client's admission record. The nurse of several medications. Which of the following factors should the nurse recognize is of primary consideration when determining the schedule of administration?
Question 2 of 5
Specific characteristics of the medications
Correct Answer: A
Rationale: Medication characteristics, such as pharmacokinetics and food requirements, dictate the administration schedule for safety and efficacy. Pharmacy availability, policies, and home schedules are secondary.
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 in the medical-surgical unit is assigning client care to a nurse who is floating from the PACU. The nurse should recognize that the float nurse is most qualified to care for which of the following clients?
Question 4 of 5
A client who is being discharged to a long-term care facility
Correct Answer: D
Rationale: The PACU nurse is skilled in postoperative care, including chest tube management, making this client the best match. Other tasks require specialized teaching or discharge planning.
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 5 of 5
Hemolysis
Correct Answer: B
Rationale: Diphenhydramine prevents urticaria (hives), a mild allergic reaction. Hemolysis, fever, and fluid overload require different management.