Questions 35

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ATI Nur 237 Fundamentals Quiz Questions

Extract:


Question 1 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 2 of 5

A nurse in a clinic is interviewing a client who will undergo diagnostic testing. The nurse should ask about a client's potential allergies during which phase of the nursing process?

Correct Answer: B

Rationale: The assessment phase involves gathering subjective and objective data about the patient. Asking about allergies is part of the initial health history to ensure safe care planning.

Question 3 of 5

After receiving change of shift report, the nurse delegates hygiene care for the caseload of patients. Which patient should the nurse delegate to the nursing assistive personnel (NAP)?

Correct Answer: D

Rationale: This patient is stable and only needs assistance with bathing, making them appropriate for NAP delegation.

Question 4 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.

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: Nausea and stomach cramps are symptoms reported by the patient and cannot be measured or observed by the nurse, making them subjective data.

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