ATI RN
ATI Nur 237 Fundamentals Quiz Questions
Extract:
Question 1 of 5
The nurse is providing care to a patient in an acute care facility. Which of the following are examples of independent nursing interventions? (Select all that apply.)
Correct Answer: A;D
Rationale: Independent nursing interventions, like assisting with ADLs and assessing pain, do not require a provider’s order, unlike administering IV fluids or medications.
Question 2 of 5
A patient who recently underwent abdominal surgery is complaining of severe abdominal pain and has a distended abdomen. Which of the following interventions should the nurse do first?
Correct Answer: C
Rationale: The nurse must assess before taking action to identify possible complications (e.g., bowel obstruction).
Question 3 of 5
When should a nurse perform an ongoing assessment during a patient's hospital stay?
Correct Answer: C
Rationale: Ongoing assessments should be performed regularly, especially at the beginning of each shift, to detect changes early, adjust care plans, and intervene as needed.
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
Which nursing diagnosis is written in the correct format when using NANDA-I taxonomy?
Correct Answer: C
Rationale: The diagnosis follows the correct NANDA-I format: Diagnosis (Impaired Skin Integrity), Etiology (physical immobility), Defining characteristics (skin tear over the sacral area).