ATI RN
ATI Nur 237 Fundamentals Quiz Questions
Question 1 of 5
A nurse is providing nursing care to a group of patients. Which actions are direct care interventions? (Select all that apply.)
Correct Answer: A;B;C;E
Rationale: The correct answer includes choices A, B, C, and E. These actions involve direct interaction with patients to meet their immediate needs.
Choice A, teaching about medications, directly impacts patient education and understanding.
Choice B, performing resuscitation, is a critical direct care intervention in emergency situations.
Choice C, inserting a feeding tube, is a hands-on procedure that directly impacts a patient's nutrition.
Choice E, ambulating a patient, involves physically aiding a patient to move, promoting mobility and preventing complications.
Choices D, documenting wound care, and any other options not selected, do not involve direct patient interaction or immediate care provision.
Question 2 of 5
A patient who recently underwent abdominal surgery is complaining of severe abdominal pain and has a distended abdomen. Which of the following interventions should the nurse do first?
Correct Answer: C
Rationale: The correct answer is C: Perform an abdominal assessment. This is the first step to gather important information about the patient's condition, such as signs of infection or internal bleeding. It helps identify the cause of the pain and distention, guiding further interventions. Applying a warm compress (
A) does not address the underlying issue and may even mask symptoms. Administering pain medication (
B) without knowing the cause of pain can be harmful. Notifying the physician (
D) is important but should come after the assessment to provide necessary information for decision-making.
Question 3 of 5
The nurse begins discharge planning for an older adult with left-side weakness. Which action is most important in ensuring that the discharge plan is successful?
Correct Answer: C
Rationale: The correct answer is C: Get patient input when making the plan. This is crucial because involving the patient ensures that the discharge plan is tailored to their specific needs and preferences. It promotes autonomy and increases adherence to the plan. Involving the multidisciplinary team (
A) and family members (
B) are important but secondary to the patient's input. Starting planning at admission (
D) is beneficial, but without the patient's input, the plan may not be as effective.
Question 4 of 5
A nurse is discussing time management strategies with another nurse. The nurse should include which of the following as an example of a time management strategy?
Correct Answer: C
Rationale: The correct answer is C: Plan time for disruptions. This is a time management strategy because it involves anticipating interruptions and allocating time to address them, which helps in staying organized and on track with tasks. By planning for disruptions, the nurse can better manage unexpected events without derailing the overall workflow. Skipping a meal break (
A) is detrimental to health and can lead to burnout, not an effective time management strategy. Offering to complete another nurse's task (
B) can result in overloading oneself and not prioritizing tasks effectively. Completing the easiest tasks first (
D) may not align with the importance or urgency of tasks, leading to inefficiency.
Question 5 of 5
A nurse reviews a patient's health record and finds the following data. Which example includes only subjective data?
Correct Answer: B
Rationale: The correct answer is B because nausea and stomach cramps are subjective data based on the patient's perception and cannot be measured objectively. Objective data can be measured or observed, such as in choices A, C, and D.
Choice A includes temperature and bowel sounds, which are objective measurements.
Choice C includes respiratory rate, which is an objective measurement.
Choice D includes white blood cell count and pain level, which are also objective data.
Therefore, choices A, C, and D include a mix of subjective and objective data, while choice B includes only subjective data.