ATI RN
ATI NUR 104 Final Assessment Fundamentals Questions
Extract:
A nurse is completing the initial admission assessment and history for a client. Which of the following is the priority action for the nurse to take?
Question 1 of 5
Provide a schedule of visiting hours to the client's family
Correct Answer: D
Rationale: Documenting allergies is critical to prevent adverse reactions, taking priority over family schedules, care planning, or teaching.
Extract:
A nurse is caring for a client who requires a medication that is packaged in a single dose glass ampule. Which of the following techniques should the nurse use when opening the glass ampule?
Question 2 of 5
Wear sterile gloves and break off the neck of the glass ampule with a single snap to the right side
Correct Answer: C
Rationale: Tapping the bottom and breaking the top away from the body with gauze minimizes injury and contamination. Other methods risk glass shards or unsafe handling.
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 3 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 completing a client's history and physical examination. Which of the following information should the nurse consider subjective data?
Question 4 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 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 5 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.