ATI RN
ATI Ns 117 Fundamentals Questions
Question 1 of 5
A nurse is documenting client care including only unexpected findings related to the client's condition. Which of the following documentation methods is the nurse utilizing?
Correct Answer: D
Rationale: The correct answer is D: Charting by exception (CBE). With CBE, nurses document only significant findings that deviate from the norm, focusing on exceptions rather than routine care. This method promotes efficiency by reducing redundant documentation and highlighting deviations that may require further assessment or intervention. In contrast, A: POMR involves problem lists and care plans, B: Focus charting (DAR) focuses on data, action, and response, and C: SOAP documentation follows a specific format for progress notes. These methods do not specifically emphasize documenting only unexpected findings like CBE does.
Question 2 of 5
A nurse is assisting with teaching a class about physiological changes to hearing in older adult clients. Which of the following should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: Decreased ability to hear high-frequency sounds. As people age, the sensory cells in the inner ear that detect high-frequency sounds tend to deteriorate, leading to a decreased ability to hear those sounds. This is known as presbycusis.
Choices A, C, and D are incorrect because aging does not necessarily result in decreased thickness of tympanic membranes, decreased tinnitus, or decreased ear wax production.
Therefore, the most relevant physiological change to hearing in older adults that the nurse should include in the teaching is the decreased ability to hear high-frequency sounds.
Question 3 of 5
What is the purpose of evidence-based practice (EBP) in nursing?
Correct Answer: D
Rationale: The purpose of evidence-based practice (EBP) in nursing is to improve patient outcomes and quality of care. This is achieved by integrating the best available evidence with clinical expertise and patient values. By using evidence-based practice, nurses can make informed decisions that are based on research and proven effectiveness, leading to better patient care.
Choice A is incorrect because EBP focuses on individualized care based on evidence, not standardized protocols.
Choice B is incorrect as EBP involves critically evaluating practices, not just relying on established ones.
Choice C is incorrect because EBP emphasizes using research evidence over tradition and personal beliefs.
Question 4 of 5
A team of community health nurses is considering the implementation of new programs in their community, and they are formulating research questions. Which of the following should represent a T in their PICOT questions? (Select All that Apply.)
Correct Answer: C,E
Rationale: The correct choices are C (During the summer months) and E (Three months after immunization). The "T" in a PICOT question stands for Time, which refers to the specific timeframe or duration of interest in the research question. In this scenario, specifying "During the summer months" (
C) and "Three months after immunization" (E) provides clarity on when the outcomes will be assessed. This allows for better planning, data collection, and analysis.
Choices A, B, and D do not include a time element, making them vague and lacking specificity.
Therefore, they do not meet the criteria for the "T" component in a PICOT question.
Question 5 of 5
A nurse is completing a SOAP note in a client's chart. In which of the following sections should the client's vital signs be documented?
Correct Answer: A
Rationale: In a SOAP note, vital signs should be documented in the Objective section. This section is for measurable and observable data, which includes vital signs like blood pressure, heart rate, temperature, and respiratory rate. This objective information provides concrete data about the client's current health status. Documenting vital signs in the Subjective section (
B) would be incorrect as this section is for the client's own descriptions and feelings, not objective data. The Plan section (
C) is for outlining the next steps or interventions, while the Assessment section (
D) is for the nurse's analysis and interpretation of the client's data, not the raw data itself.