ATI RN
ATI N 144 Exam 1 Fundamental Concepts for Nursing Practice Questions
Extract:
Question 1 of 5
A nurse administers an antihypertensive medication to a patient at the scheduled time of 0900. The nursing assistant then reports to the nurse that the patient's blood pressure was low when it was taken at 0830. The patient begins to complain of feeling dizzy and light-headed. The blood pressure is re-checked and it has dropped even lower. The nurse first made an error in what phase of the nursing process?
Correct Answer: A
Rationale: The correct answer is A: Assessment. In the nursing process, assessment is the first step where data is collected to identify the patient's health status. In this scenario, the nurse failed to assess the patient's blood pressure before administering the antihypertensive medication. This oversight led to administering the medication without knowing the current blood pressure, resulting in a drop in blood pressure and adverse effects. Planning (
B) involves developing a care plan based on assessment data. Diagnosis (
C) involves identifying the patient's health problems. Evaluation (
D) involves determining the effectiveness of interventions, which comes after implementing the plan. In this case, the initial error was in the assessment phase, as proper assessment could have prevented the complications.
Question 2 of 5
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Question 3 of 5
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Question 5 of 5
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