ATI RN
ATI Nur 104 Fundamentals Final Exam Questions
Extract:
Question 1 of 5
A nurse is giving change-of-shift report using SBAR to the oncoming nurse on a client who has a traumatic brain injury. Which of the following information should the nurse include in the background segment of SBAR?
Correct Answer: A
Rationale: The correct answer is A: Code status. In the background segment of SBAR, the nurse should include relevant information about the client's current status that may impact care delivery. Code status indicates the client's preferences for resuscitation efforts in case of an emergency, which is crucial information for the oncoming nurse to be aware of when caring for a client with a traumatic brain injury. This information guides decision-making during critical situations.
Choices B, C, and D are incorrect as they are more specific to the client's immediate care needs rather than general background information. Intracranial pressure readings and Glasgow results are crucial for assessing the client's condition but belong in the assessment segment of SBAR, not the background segment. Plan of care changes are part of the plan segment and are focused on upcoming interventions rather than background information.
Question 2 of 5
Correct Answer:
Rationale:
Question 3 of 5
Correct Answer:
Rationale:
Question 4 of 5
Correct Answer:
Rationale:
Question 5 of 5
Correct Answer:
Rationale: