Questions 38

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ATI RN Test Bank

ATI NUR 104 Final Assessment Fundamentals Questions

Extract:

A nurse is preparing to administer oral medications to a client. Which of the following should the nurse recognize as an acceptable client identifier?


Question 1 of 5

Partner's full name

Correct Answer: D,E

Rationale: Client’s full name and facility-assigned identification number are reliable identifiers. Partner’s name, room number, and provider’s name are not specific to the client.

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 2 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 preparing to administer 0.45% sodium chloride (NaCl) 2000 mL IV to Infuse over 8 hr. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)


Question 3 of 5

Correct Answer: 250

Rationale: Calculate: 2000 mL ÷ 8 hr = 250 mL/hr.

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 4 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.

Extract:

A nurse is creating a discharge plan. Which of the following nursing statements indicates the nurse understands when discharge planning should be implemented?


Question 5 of 5

I will begin upon the client's admission to the facility.

Correct Answer: A

Rationale: Discharge planning should begin at admission to ensure comprehensive preparation. Waiting for orders, insurance approval, or 48 hr prior is too late.

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