ATI RN
ATI NUR 104 Final Assessment Fundamentals Questions
Extract:
A nurse is reviewing information about the Health Insurance Portability and Accountability Act (HIPAA) with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates a need for further teaching?
Question 1 of 5
HIPAA is a federal law, not a state law
Correct Answer: D
Rationale: Disclosing information to family without consent violates HIPAA. Other statements are correct regarding HIPAA’s scope and definitions.
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 2 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 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 3 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 administering an oral medication to an older adult client. The client states, 'The pill I always take is green. I don't take an orange pill.' Which of the following responses should the nurse make?
Question 4 of 5
I will check your medication order again
Correct Answer: A
Rationale: Checking the medication order addresses the client’s concern and ensures safety. Other responses do not verify the medication’s accuracy.
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 5 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.