ATI RN
ATI 110 Fundamentals Exam 1 Questions
Extract:
Question 1 of 5
A nurse is documenting client care including only unexpected findings related to the client's condition. Which of the following documentation methods is the nurse utilizing?
Correct Answer: C
Rationale: Charting by exception (CBE) is the correct answer. CBE involves documenting only significant findings or exceptions to the norm. This method focuses on deviations from the expected baseline, promoting efficiency and highlighting important changes in the client's condition. By documenting unexpected findings related to the client's condition, the nurse is using CBE to streamline the documentation process and prioritize critical information. SOAP documentation (
A) involves subjective, objective, assessment, and plan format, which is more comprehensive. Focus charting (DAR) (
B) focuses on data, action, and response but does not specifically target unexpected findings. Problem-oriented medical record (POMR) (
D) emphasizes problem lists, making it less focused on exceptions.
Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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