ATI RN
ATI NUR 104 Final Assessment Fundamentals Questions
Extract:
A nurse is receiving a provider's prescription for a client via telephone. Which of the following actions should the nurse take to ensure the accuracy of the telephone prescription? (Select all that apply.)
Question 1 of 5
Question any part of the order that is unclear or inappropriate
Correct Answer: A,D,E
Rationale: Questioning unclear orders, repeating the order back, and obtaining the provider’s signature within a specified timeframe (typically 24 hr) ensure accuracy. Transcribing is necessary but not sufficient alone, and recorded messages are not standard.
Extract:
A nurse is completing a client's history and physical examination. Which of the following information should the nurse consider subjective data?
Question 2 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 charge nurse is observing a newly licensed nurse administer medications to a client. Which of the following actions by the newly licensed nurse should prompt the charge nurse to intervene?
Question 3 of 5
Documents medication administration prior to administering it
Correct Answer: A
Rationale: Documenting before administering risks errors if administration fails. Other actions are correct safety practices.
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 4 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 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 5 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.