ATI RN
ATI NUR 104 Final Assessment Fundamentals Questions
Extract:
A nurse is preparing to administer medications to a client who states, 'I don't want to take those drugs.' Which of the following actions should the nurse take?
Question 1 of 5
Tell the client the physician wants him to take the medications
Correct Answer: D
Rationale: Explaining the purpose of the medications informs the client, potentially resolving concerns. Other actions may follow but are not the initial step.
Extract:
A nurse is preparing to administer Ringer's lactate 500 mL IV bolus to Infuse over 3 hr. The drop factor of the manual IV tubing is 20 gtt/mL. The nurse should set the manual IV Infusion to deliver how many gtt/min? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Question 2 of 5
Correct Answer: 56
Rationale: Calculate: (500 mL ÷ 180 min) × 20 gtt/mL = 55.6 gtt/min, rounded to 56 gtt/min.
Extract:
A nurse is caring for a client who has schizophrenia and is experiencing hallucinations. The provider prescribes chlorpromazine 50 mg IM every 4 hr as needed. Available is chlorpromazine Injection 25 mg/mL. How many mL should the nurse administer per dose? (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: 2
Rationale: Calculate: 50 mg ÷ 25 mg/mL = 2 mL.
Extract:
A nurse is preparing to instill ear drops to a 3-year-old child. Which of the following techniques should the nurse use?
Question 4 of 5
Pull the auricle down and out
Correct Answer: A
Rationale: For a child under 3, pulling the auricle down and out straightens the ear canal. Up and back is for older children, and other options are incorrect.
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.