ATI RN
ATI Nur 237 Fundamentals Quiz Questions
Extract:
Question 1 of 5
The nurse is reviewing a patient's plan of care, which includes the nursing diagnostic statement, Impaired physical mobility related to tibial fracture as evidenced by patient's inability to ambulate. Which part of the diagnostic statement does the nurse need to revise?
Correct Answer: C
Rationale: Tibial fracture' is a medical diagnosis. The etiology should focus on the patient’s response, such as 'pain and muscle weakness' related to the fracture.
Question 2 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 3 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 4 of 5
A nurse formulates several nursing diagnoses then prioritizes using Maslow's hierarchy. What nursing diagnosis should have the highest priority?
Correct Answer: A
Rationale: Maslow’s hierarchy prioritizes physiological needs like nutrition first, as they are essential for survival and recovery.
Question 5 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.