ATI RN
ATI NUR 104 Final Assessment Fundamentals Questions
Extract:
A nurse is teaching a class on health promotion and illness prevention. The nurse should include that which of the following is an example of secondary prevention?
Question 1 of 5
Providing a community program on stress reduction
Correct Answer: D
Rationale: Breast self-examinations are secondary prevention, detecting disease early. Stress reduction is primary, and support groups and foot care are tertiary.
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 2 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.
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 reviewing a client's admission record. The nurse of several medications. Which of the following factors should the nurse recognize is of primary consideration when determining the schedule of administration?
Question 5 of 5
Specific characteristics of the medications
Correct Answer: A
Rationale: Medication characteristics, such as pharmacokinetics and food requirements, dictate the administration schedule for safety and efficacy. Pharmacy availability, policies, and home schedules are secondary.