ATI RN
ATI Fundamentals Proctored Exam Study Guide 3 Questions
Extract:
Question 1 of 5
Nurse enters a client's room & finds him sitting in his chair. He states, 'I fell in the shower, but I got myself back up & into my chair.' How should nurse document this in client's chart?
Correct Answer: B
Rationale: The correct answer is B. The nurse should document the client's statement accurately without assuming the fall occurred. This option reflects the client's own account of the situation and acknowledges his ability to self-recover.
Choice A assumes the fall without confirmation.
Choice C is incorrect as it is important to document client reports for continuity of care.
Choice D adds unnecessary information not provided by the client.
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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