ATI RN
ATI Nur 231 Fundamentals Exam Questions
Extract:
Question 1 of 5
The nurse is notifying the HCP of the client's change in status using the SBAR format. In which order should the nurse place the statements? 1. 'I suggest that the client be transferred to the critical care unit, and I would like you to come evaluate the client.' 2. 'The client is deteriorating, and I'm afraid the client is going to arrest.' 3. 'I am calling about (client name and location). Vital signs are BP=100/50, P=120, RR=30, T=100.4°F (38°C).' 4. 'The client is becoming confused and agitated. The skin is pale, mottled, and diaphoretic. The client is very dyspneic with an oxygen saturation of 85% despite placing a nonrebreather mask.'
Correct Answer: A
Rationale: The correct order is A: 2,4,3,1. The nurse should start by stating the client's critical condition (2), followed by specific symptoms (4), vital signs (3), and finally the recommendation for transfer and evaluation (1). This sequence prioritizes urgency and provides essential information first before suggesting actions.
Choice B is incorrect as it starts with vital signs before conveying the critical condition.
Choice C is incorrect as it presents symptoms before vital signs.
Choice D is incorrect as it suggests evaluation before providing all necessary information. Thus, option A follows the SBAR format effectively.
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: