ATI RN
ATI NUR 104 Final Assessment Fundamentals Questions
Extract:
A nurse is completing a client's history and physical examination. Which of the following information should the nurse consider subjective data?
Question 1 of 5
Nausea
Correct Answer: A
Rationale: Nausea is subjective, reported by the client. Petechiae, blood pressure, and cyanosis are objective, observable, or measurable.
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 caring for a client who is scheduled for an elective surgical procedure. Which of the following actions should the nurse take regarding informed consent?
Question 3 of 5
Explain the risks and benefits of the procedure
Correct Answer: B
Rationale: The nurse witnesses the client’s signature, confirming voluntary consent. Explaining risks, obtaining consent, or explaining the procedure is the provider’s role.
Extract:
A nurse is teaching a client who has asthma about how to use an albuterol inhaler. Which of the following actions by the client indicates an understanding of the teaching?
Question 4 of 5
The client waits 10 min between inhalations
Correct Answer: B
Rationale: Holding the breath for 10 seconds enhances medication deposition in the lungs. Waiting 10 min is excessive, quick inhalation is incorrect, and exhaling during release prevents effective delivery.
Extract:
A nurse is administering several medications via a client's gastrostomy tube. At which of the following times should the nurse instill 15 to 30 mL of warm water? (Select all that apply.)
Question 5 of 5
Prior to administering each medication
Correct Answer: A,D,E
Rationale: Instilling water before and after each medication and after multiple medications ensures proper delivery and prevents clogging. Aspirating contents and slow flow do not require water instillation.