ATI RN
ATI Nursing 100 Day Exam 4 Fundamentals Questions
Extract:
Question 1 of 5
The nurse is administering medications to a client who has severe liver damage. Which medications as ordered below will avoid the first pass effect? (Select all that apply)
Correct Answer: B,D,E
Rationale: Rectal (Dulcolax) transdermal (Fentanyl) and intravenous (Morphine) routes bypass the liver’s first pass metabolism as they are absorbed directly into systemic circulation. Oral medications like Acetaminophen and Aspirin are absorbed through the gastrointestinal tract and undergo first pass metabolism in the liver reducing their bioavailability which is problematic in severe liver damage.
Question 2 of 5
The client has an open wound on the sacrum with an order for the following: Apply hydrogel dressing on the wound. Change dressing every day. The nurse recognizes that the primary purpose of this dressing is to:
Correct Answer: B
Rationale: Hydrogel dressings provide a moist environment to promote healing by facilitating autolytic debridement and granulation tissue formation. They do not primarily protect from pressure (handled by devices) enhance primary intention (for surgical wounds) or absorb drainage (hydrocolloids do this).
Question 3 of 5
A nurse receives an order for blood urine stool and nasal cultures on a client with a high fever. Which prefix describes this order?
Correct Answer: D
Rationale: “Pan” indicates comprehensive testing across multiple sites (blood urine stool nasal) suggesting a broad infection workup. Macro (large) oligo (few) and mono (single) do not describe the inclusive nature of this order.
Question 4 of 5
The nurse is preparing an Injection of 10 units of regular Insulin and 5 units of NPH insulin from two vials. The nurse should:
Correct Answer: B
Rationale: Injecting air into both vials (NPH first then regular) and withdrawing regular insulin first prevents NPH contamination in the regular insulin vial ensuring accurate dosing. Other sequences risk mixing insulins or incorrect dosing affecting glycemic control.
Question 5 of 5
The nurse is aware that a common cause of under delegation in client care is:
Correct Answer: C
Rationale: Under-delegation often stems from a nurse’s need for perfectionism and control leading to reluctance to delegate tasks as they fear tasks won’t meet their standards. Over-delegation to assistive personnel is related to excessive delegation not under-delegation. A high degree of trust would facilitate delegation and nurses’ heavy workloads mean they often lack time to do all tasks themselves contradicting the idea of having time as a cause.