ATI RN
ATI Nur 237 Fundamentals Quiz Questions
Extract:
Question 1 of 5
A newly admitted patient who is morbidly obese asks the nurse for assistance to the bathroom for the first time. Which action should the nurse take initially?
Correct Answer: A
Rationale: Before assisting a patient, especially one with mobility concerns, the nurse must verify provider orders to determine any restrictions or special considerations.
Question 2 of 5
The nurse is evaluating whether patient goals and outcomes have been met for a patient with physical mobility problems due to a fractured leg. Which finding indicates the patient has met an expected outcome?
Correct Answer: C
Rationale: Independent walking with a walker demonstrates progress toward independence in mobility, indicating a met outcome.
Question 3 of 5
A nurse formulates several nursing diagnoses then prioritizes using Maslow's hierarchy. What nursing diagnosis should have the highest priority?
Correct Answer: A
Rationale: Maslow’s hierarchy prioritizes physiological needs like nutrition first, as they are essential for survival and recovery.
Question 4 of 5
A nurse assesses a patient who reports chest pain radiating down their arm. The nurse notes the patient is sweating and pale, BP 90/50 mmHg, pulse 120bpm, irregular. When developing the plan of care, what type of nursing diagnosis should the nurse use?
Correct Answer: B
Rationale: The patient has current symptoms of chest pain, sweating, pallor, hypotension, and an irregular pulse, indicating an actual nursing diagnosis for an existing problem.
Question 5 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: Direct care interventions involve hands-on or interactive actions with the patient, such as teaching, resuscitation, tube insertion, and ambulation. Documentation is indirect care.