ATI RN
ATI NUR 104 Final Assessment Fundamentals Questions
Extract:
A nurse is giving a presentation about client confidentiality to a group of newly licensed nurses. Which of the following actions is an example of a violation of confidentiality?
Question 1 of 5
Identifying the client by name when making a referral for home health services
Correct Answer: B
Rationale: Reporting lab findings to family without consent violates confidentiality. Referrals, discussions with the nurse manager, and provider notifications are permissible for care coordination.
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 2 of 5
Hemolysis
Correct Answer: B
Rationale: Diphenhydramine prevents urticaria (hives), a mild allergic reaction. Hemolysis, fever, and fluid overload require different management.
Extract:
A nurse is administering timolol eye drops to a client who has glaucoma. Which of the following actions should the nurse take?
Question 3 of 5
Drop prescribed amount of medication into the conjunctival sac
Correct Answer: A
Rationale: Dropping medication into the conjunctival sac ensures proper absorption. Protecting the eyedropper is secondary, pressure on the nose is incorrect, and wiping should be inner to outer canthus.
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 hospice nurse is caring for a client who has terminal cancer and takes PO morphine for pain relief. The client reports that he had to increase the dose of morphine this week to obtain pain relief. Which of the following scenarios should the nurse document as the explanation for this situation?
Question 5 of 5
The client has not been taking the medication properly
Correct Answer: C
Rationale:
Tolerance, requiring higher doses for the same effect, explains the need for increased morphine. Addiction involves compulsive use, not dose increase, and other options are unrelated.