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ATI nur 104 final Assessment fundamentals

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Title : ATI nur 104 final Assessment fundamentals

Type : Nursing

Category : RN Nursing Exams

Subcategory : ATI Exams (RN)

Domain : FUNDAMENTALS of Nursing (RN ati)

Fragment : N/A

Module : RN-NURSING

Exam Status : active

Rating : 95.00%

Attempts Allowed : 100

Exam Year : 2025

Duration : 75 minutes

Total Questions : 10

Passing Score : 90%

Difficulty : Moderate

Instructions : Answer all questions carefully and within the allocated time, using current best practices and critical thinking.

Description : This test contains relevant fundamental of nursing questions.

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No.

1 :
A nurse is documenting in a client's medical record. Which of the following abbreviations is appropriate for the nurse to use?(Select all that apply.)

MS04

30 mL

Bid

2mg

Hint : 📝Think about which abbreviations are on the “do not use” list for safe documentation.

Correct Answers:

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2 :
A nurse assumes a variety of roles while working with clients. Which of the following describes the nursing role of protecting the client and supporting the client's decisions?

Educator

Advocate

Caregiver

Manager

Hint : 🧾Think of the role that ensures the client’s voice is heard and rights respected.

Correct Answers:

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3 :
A nurse is caring for a client who has a hip fracture that requires surgical repair. Which of the following health care professionals is responsible for obtaining informed consent from the client for the procedure?

Surgeon

Surgical suite nurse

Nurse

Anesthesiologist

Hint : 📜Think about who performs the procedure and must explain it to the patient.

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4 :
A nurse is giving change-of-shift report using SBAR to the oncoming nurse on a client who has a traumatic brain injury. Which of the following information should the nurse include in the background segment of SBAR?

Glasgow results

Intracranial pressure readings

Code status

Plan of care changes for upcoming shift

Hint : 🗂️Think about the part of SBAR that gives past and standing information for context.

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Distractor Analysis :

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5 :
A nurse is administering timolol eye drops to a client who has glaucoma. Which of the following actions should the nurse take?

Drop prescribed amount of medication into the conjunctival sac.

Protect the distal portion of the eyedropper using clean technique.

Apply pressure to the bridge of the nose after administration.

Wipe the eye from the outer canthus to the inner canthus before instillation.

Hint : 👓Think about where medicine should go in the eye to avoid corneal damage.

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6 :
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 any part of the order that is unclear or inappropriate

Transcribe the order into the client's health record.

Implement a recorded order message if the nurse can hear and understand it clearly

Repeat the order back to the provider

Obtain the provider's signature within 8 hr.

Hint : 📋Think of steps that confirm clarity, legality, and safety with phone orders.

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7 :
A nurse is prioritizing care for two clients at the start of the shift.
The first client, who is 1 day postoperative following a partial bowel resection, requires a dressing change, total parenteral nutrition administration, and reports a pain level of 6 on a scale from 0 to 10.
The second client, who has a newly inserted percutaneous gastrostomy tube, requires a tube feeding, dressing change, and daily weight.
Which of the following nursing actions should the nurse plan to complete first?

Administer pain medication to the first client.

Weigh the second client.

Change the dressings of both clients.

Obtain vital signs for both clients

Hint : ⏱️Think about which client need requires immediate relief before other tasks.

Correct Answers:

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Distractor Analysis :

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8 :
A nurse is creating a discharge plan. Which of the following nursing statements indicates the nurse understands when discharge planning should be implemented?

"l will begin upon the client's admission to the facility"

"l will begin once the client's discharge order is written."

"l will begin once the client's insurance company approves discharge coverage."

"l will begin 48 hr before the client's discharge.'

Hint : 📝Think about when planning should start to allow maximum preparation time.

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9 :
A nurse is preparing to instill ear drops to a 3-year-old child. Which of the following techniques should the nurse use?

Pull the auricle down and out.

Pull the auricle up and back.

Pull the auricle up and out.

Pull the auricle down and back.

Hint : 👶Think about how to position the ear canal for young children under 3 years.

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10 :
A nurse is preparing to administer medications to a client who states, "l don't want to take those drugs." Which of the following actions should the nurse take?

Tell the client the physician wants him to take the medications.

Document that the client refuses the medications.

Ask the client why he is refusing to take the medications.

Explain the purpose for the medications.

Hint : 📝Think of the legal and ethical action when a client refuses treatment.

Correct Answers:

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Ans

ATI nur 104 final Assessment fundamentals

No.

1 : A nurse is documenting in a client's medical record. Which of the following abbreviations is appropriate for the nurse to use?(Select all that apply.)

2 : A nurse assumes a variety of roles while working with clients. Which of the following describes the nursing role of protecting the client and supporting the client's decisions?

3 : A nurse is caring for a client who has a hip fracture that requires surgical repair. Which of the following health care professionals is responsible for obtaining informed consent from the client for the procedure?

4 : A nurse is giving change-of-shift report using SBAR to the oncoming nurse on a client who has a traumatic brain injury. Which of the following information should the nurse include in the background segment of SBAR?

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

6 : 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.)

8 : A nurse is creating a discharge plan. Which of the following nursing statements indicates the nurse understands when discharge planning should be implemented?

9 : A nurse is preparing to instill ear drops to a 3-year-old child. Which of the following techniques should the nurse use?

10 : A nurse is preparing to administer medications to a client who states, "l don't want to take those drugs." Which of the following actions should the nurse take?

1 :
A nurse is documenting in a client's medical record. Which of the following abbreviations is appropriate for the nurse to use?(Select all that apply.)

2 :
A nurse assumes a variety of roles while working with clients. Which of the following describes the nursing role of protecting the client and supporting the client's decisions?

3 :
A nurse is caring for a client who has a hip fracture that requires surgical repair. Which of the following health care professionals is responsible for obtaining informed consent from the client for the procedure?

4 :
A nurse is giving change-of-shift report using SBAR to the oncoming nurse on a client who has a traumatic brain injury. Which of the following information should the nurse include in the background segment of SBAR?

5 :
A nurse is administering timolol eye drops to a client who has glaucoma. Which of the following actions should the nurse take?

6 :
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.)

8 :
A nurse is creating a discharge plan. Which of the following nursing statements indicates the nurse understands when discharge planning should be implemented?

9 :
A nurse is preparing to instill ear drops to a 3-year-old child. Which of the following techniques should the nurse use?

10 :
A nurse is preparing to administer medications to a client who states, "l don't want to take those drugs." Which of the following actions should the nurse take?