Questions 38

ATI RN

ATI RN Test Bank

ATI NUR 104 Final Assessment Fundamentals Questions

Extract:

A nurse is providing discharge teaching to a client who has a new prescription for a metered dose inhaler (MDI). Which of the following instructions should the nurse include in the teaching?


Question 1 of 5

Shake the inhaler for 3 to 5 seconds

Correct Answer: B

Rationale: Waiting 2 minutes between inhalations allows medication to work effectively. Shaking is typically 5 seconds, pressing twice is incorrect, and rinsing with water (not mouthwash) is advised for corticosteroids.

Extract:

A nurse is administering timolol eye drops to a client who has glaucoma. Which of the following actions should the nurse take?


Question 2 of 5

Drop prescribed amount of medication into the conjunctival sac

Correct Answer: A

Rationale: Dropping medication into the conjunctival sac ensures proper absorption. Protecting the eyedropper is secondary, pressure on the nose is incorrect, and wiping should be inner to outer canthus.

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 nurse is receiving change-of-shift report for a group of assigned clients. The nurse anticipates which of the following activities first in delivering client care using the nursing process?


Question 4 of 5

Collect and organize client data

Correct Answer: A

Rationale: Collecting and organizing data is the first step in the nursing process, enabling subsequent analysis, planning, and evaluation.

Extract:

A nurse is completing a client's history and physical examination. Which of the following information should the nurse consider subjective data?


Question 5 of 5

Nausea

Correct Answer: A

Rationale: Nausea is subjective, reported by the client. Petechiae, blood pressure, and cyanosis are objective, observable, or measurable.

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