ATI RN
ATI Nur 237 Fundamentals Quiz Questions
Extract:
Question 1 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 2 of 5
Which scenario best illustrates the nurse using data validation when making a nursing clinical decision for a patient?
Correct Answer: A
Rationale: Data validation involves verifying information before taking action. The nurse gathers subjective data (time of last dressing change) and objective data (drainage) before deciding to remove the dressing.
Question 3 of 5
The standing orders for a patient include acetaminophen 650 mg every 4 hours prn for headache. After assessing the patient, the nurse identifies the need for headache relief and determines that the patient has not had acetaminophen in the past 4 hours. Which action will the nurse take next?
Correct Answer: D
Rationale: The nurse has assessed the patient’s need for pain relief, confirmed that the patient has not received the medication in the past four hours, and verified that it falls within the provider’s orders. Since all criteria are met, the nurse should proceed with administering the medication as prescribed.
Question 4 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 5 of 5
Which scenario best illustrates the nurse using data validation when making a nursing clinical decision for a patient?
Correct Answer: A
Rationale: Data validation involves verifying information before taking action. The nurse gathers subjective data (time of last dressing change) and objective data (drainage) before deciding to remove the dressing.