ATI RN
ATI Nur 237 Fundamentals Quiz Questions
Extract:
Question 1 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 2 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.
Question 3 of 5
Which patient scenario of a surgical patient in pain is most indicative of critical thinking?
Correct Answer: D
Rationale: Asking about past effective pain-relief methods individualizes care and involves the patient in decision-making, a key component of critical thinking.
Question 4 of 5
A 65-year-old male patient with hypertension was recently started on a new antihypertensive medication. During the evaluation phase of the nursing process, which action should the nurse prioritize?
Correct Answer: D
Rationale: The evaluation phase focuses on determining if interventions, such as medications, have achieved the desired outcomes, making blood pressure assessment the priority.
Question 5 of 5
A nurse is assigned to four patients during a morning shift. Which patient should the nurse perform a focused assessment on first?
Correct Answer: D
Rationale: Sudden onset chest pain and shortness of breath can indicate a life-threatening condition such as myocardial infarction or pulmonary embolism. The nurse must immediately assess this patient.