ATI RN
ATI Nur 237 Fundamentals Quiz Questions
Extract:
Question 1 of 5
The nurse is providing care to a client admitted with pressure injuries. The nurse develops a plan of care focusing on healing measures and prevention of further injury. Which task does the nurse delegate to the nursing assistive personnel (NAP)?
Correct Answer: A
Rationale: Turning and repositioning is a routine, non-clinical task that can be safely delegated to NAP to help prevent pressure injuries.
Question 2 of 5
A nurse receives a patient who has been in the intensive care unit for three weeks after a motor vehicle accident. The nurse assesses the patient who reports fatigue. The nurse notes increased heart rate and decreased blood pressure when the patient moves from lying to sitting. When developing the plan of care, what problem label should the nurse use?
Correct Answer: B
Rationale: The patient exhibits fatigue, increased heart rate, and orthostatic hypotension, indicating reduced ability to tolerate physical activity, making Activity Intolerance the most appropriate diagnosis.
Question 3 of 5
A newly admitted patient who is morbidly obese asks the nurse for assistance to the bathroom for the first time. Which action should the nurse take initially?
Correct Answer: A
Rationale: Before assisting a patient, especially one with mobility concerns, the nurse must verify provider orders to determine any restrictions or special considerations.
Question 4 of 5
A nurse administers the prescribed inhaled medication then auscultates the patient's lungs after the medication has finished. In what phase of the nursing process would the nurse's action of auscultating the lungs occur?
Correct Answer: B
Rationale: Evaluation involves determining whether the intervention was successful. The nurse is assessing lung sounds to determine if the inhaled medication improved airway clearance and breathing.
Question 5 of 5
A nurse takes a health history, measures vital signs and conducts a physical assessment on a new admission. After data analysis, what should the nurse do next?
Correct Answer: C
Rationale: After analyzing data, the next step in the nursing process is planning, which includes setting measurable, individualized goals for the patient.