ATI RN
ATI Nur 237 Fundamentals Quiz Questions
Question 1 of 5
The standing orders for a patient include acetaminophen 650 mg every 4 hours prn for headache. After assessing the patient, the nurse identifies the need for headache relief and determines that the patient has not had acetaminophen in the past 4 hours. Which action will the nurse take next?
Correct Answer: D
Rationale: The correct answer is D: Administer the acetaminophen. The nurse should administer the acetaminophen since the patient is due for the medication based on the standing orders and assessment findings. Administering the medication promptly ensures timely relief for the patient's headache. Option A is incorrect because the nurse should administer medications themselves when it involves assessing the patient's response. Option B is incorrect because pain assessment should be done before administering medication to ensure appropriateness. Option C is incorrect as notifying the healthcare provider for a verbal order would cause unnecessary delay in providing relief.
Question 2 of 5
When using the PIE format for documentation, which of the following elements should the nurse include under 'P'?
Correct Answer: A
Rationale: The correct answer is A: Problem identified during assessment. In the PIE format, 'P' stands for Problem, which refers to the nurse's identification of the patient's health issues during the assessment phase. This element helps in establishing a clear understanding of the patient's condition and guides the development of appropriate interventions.
Choice B (Interventions planned for the patient) would be under 'I,' C (Patient's subjective complaints) under 'S,' and D (Evaluation of care provided) under 'E.' The other choices are not directly related to the 'P' element in the PIE format.
Question 3 of 5
Which of the following signs is most indicative of impaired skin integrity?
Correct Answer: B
Rationale: The correct answer is B because the presence of a wound with partial thickness skin loss indicates impaired skin integrity. This suggests that the skin's protective barrier has been compromised, making it more susceptible to infection and damage.
Choice A, skin feeling warm to the touch, is a sign of inflammation but not necessarily indicative of impaired skin integrity.
Choice C, dry skin with no visible lesions, may indicate dehydration but does not necessarily imply impaired skin integrity.
Choice D, slight redness of the skin after applying pressure, could be a sign of pressure injury but does not directly indicate impaired skin integrity like a wound with skin loss does.
Question 4 of 5
A nurse is preparing to give a handoff report to the oncoming nurse. In which of the following areas should the nurse provide report to the oncoming nurse?
Correct Answer: C
Rationale: The correct answer is C: Client's bedside. Providing a handoff report at the client's bedside ensures accurate and immediate transfer of information, allowing the oncoming nurse to assess the client's condition firsthand. It promotes continuity of care, facilitates client involvement, and enhances communication among the healthcare team. Reporting in the nurse's lounge or conference area may lead to information being missed or misunderstood. Giving report outside the client's room may compromise client confidentiality and privacy.
Therefore, providing report at the client's bedside is the most appropriate and effective practice.
Question 5 of 5
A nurse educator is reviewing guidelines for writing an outcome statement. Which examples best indicate a correct outcome statement? (Select All that Apply.)
Correct Answer: D;E;F
Rationale: The correct outcome statements are D, E, and F. D is specific, measurable, achievable, realistic, and time-bound (SMART). E is observable and measurable. F is specific and measurable. A, B, and C are vague and not measurable. A lacks specificity and measurability. B is vague and lacks measurability. C lacks measurability and specificity.