ATI RN
ATI NUR 104 Final Assessment Fundamentals Questions
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 1 of 5
I will check your medication order again
Correct Answer: A
Rationale: The correct answer is A because medication pills can come in different colors due to variations in manufacturers or formulations. Checking the medication order again ensures the correct pill is dispensed despite color differences.
Choice B focuses on explaining the purpose of the medication, which is not directly related to checking the order.
Choice C emphasizes the doctor's recommendation but doesn't address the issue of color variation.
Choices D, E, F, and G are not provided, so they are automatically 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 2 of 5
Collect and organize client data
Correct Answer: A
Rationale: The correct answer is A because critically analyzing client data to determine priorities is essential in the initial stages of the assessment process. By analyzing the data thoroughly, a tutor can identify the most pressing needs of the client and prioritize interventions accordingly. This step helps in developing an effective intervention plan tailored to the specific needs of the client. Other choices are incorrect because determining the effectiveness of interventions (
B) comes after implementing interventions, setting client-centered goals (
C) is part of the planning process, and the other options are incomplete.
Therefore, A is the correct choice for collecting and organizing client data effectively.
Extract:
A nurse is preparing to administer a rectal suppository to a client. In which of the following positions should the nurse place the client for Insertion of the suppository?
Question 3 of 5
Prone position
Correct Answer: B
Rationale: The correct answer is B: Lying on the right side. The prone position refers to lying face down, which is achieved by lying on the stomach.
Choice B is correct because when lying on the right side, one is in a lateral recumbent position, not prone. Sim's position (choice
A) is a left-side lying position with the upper knee flexed. Supine position (choice
C) is lying face up. The remaining choices are irrelevant to the prone position. So, choice B is the correct answer as it accurately describes a position different from the prone position.
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 4 of 5
Atorvastatin
Correct Answer: B,C,D
Rationale: The correct answer is B, C, and D. Atorvastatin is a statin used to lower cholesterol levels. Duloxetine is an antidepressant, unrelated to cholesterol. Furosemide is a diuretic, also unrelated. Clopidogrel is an antiplatelet medication, not used for cholesterol. Telmisartan is an angiotensin receptor blocker, not relevant.
Therefore, B, C, and D are the correct answers due to their unrelated mechanisms of action compared to atorvastatin.
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: The correct answer is A because it involves the crucial step of checking the provider's orders to confirm the correct dosage, which ensures the medication is administered accurately. Using a medication reference guide further validates the information. Scanning a barcode (choice
B) only confirms the client and medication match but does not verify the dosage. Verifying the medication against the prescription and label (choice
C) is important but may miss inaccuracies in the provider's order. The other choices (D, E, F, G) do not provide a comprehensive approach to ensuring the accurate administration of medication.