Questions 35

ATI RN

ATI RN Test Bank

ATI Nur 237 Fundamentals Quiz Questions

Extract:


Question 1 of 5

A nurse is caring for a patient with a nursing diagnosis of Constipation related to slowed gastrointestinal motility secondary to pain medications. Which outcome is most appropriate for the nurse to include in the plan of care?

Correct Answer: B

Rationale: This outcome is specific, measurable, achievable, realistic, and time-bound (SMART), directly addressing the problem of constipation and providing a clear indicator of improvement.

Question 2 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 3 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 4 of 5

The nurse is providing care to a client admitted with pressure injuries. The nurse develops a plan of care focusing on healing measures and prevention of further injury. Which task does the nurse delegate to the nursing assistive personnel (NAP)?

Correct Answer: A

Rationale: Turning and repositioning is a routine, non-clinical task that can be safely delegated to NAP to help prevent pressure injuries.

Question 5 of 5

A nurse takes a health history, measures vital signs and conducts a physical assessment on a new admission. After data analysis, what should the nurse do next?

Correct Answer: C

Rationale: After analyzing data, the next step in the nursing process is planning, which includes setting measurable, individualized goals for the patient.

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