Questions 38

ATI RN

ATI RN Test Bank

ATI NUR 104 Final Assessment Fundamentals Questions

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 1 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 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 2 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 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 3 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 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 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 5 of 5

Correct Answer: 250

Rationale: Calculate: 2000 mL ÷ 8 hr = 250 mL/hr.

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