ATI RN
Client Centered Care in Nursing Questions
Question 1 of 5
The nurse assesses a patients blood pressure, which was 160/90. Two hours following the administration of hydrochlorothiazide, the nurse reassesses the blood pressure at 140/78. This nursing action is
Correct Answer: B
Rationale: Measuring blood pressure (before and after) is assessment, collecting data to inform care.
Question 2 of 5
Three weeks after surgery the nurse notes the patient has partial healing of the surgical wound. This assessment would occur in which phase of the nursing process?
Correct Answer: D
Rationale: Noting wound healing evaluates whether care goals are met, part of the evaluation phase.
Question 3 of 5
When the nurse formulates three nursing diagnoses for an adult patient hospitalized for abdominal surgery, the nurse has focused on the patients
Correct Answer: B
Rationale: Nursing diagnoses address actual or potential health problems identified from patient data.
Question 4 of 5
Which organization defines the nursing diagnosis?
Correct Answer: B
Rationale: NANDA-I defines nursing diagnoses as clinical judgments about health responses.
Question 5 of 5
The nurse caring for a newly admitted patient recognizes that the patients past chart at an acute care facility is considered to be the
Correct Answer: B
Rationale: Past charts are secondary sources, providing historical data beyond the patient’s direct input.