ATI RN
ATI Nur 237 Fundamentals Quiz Questions
Extract:
Question 1 of 5
The nurse is using critical thinking skills during the first phase of the nursing process. Which action indicates the nurse is in the first phase?
Correct Answer: C
Rationale: The first phase of the nursing process is assessment, which includes collecting a comprehensive database of patient information.
Question 2 of 5
A nurse educator is reviewing guidelines for writing an outcome statement. Which examples best indicate a correct outcome statement? (Select All that Apply.)
Correct Answer: D;E;F
Rationale: Correct outcome statements are specific, measurable, and time-bound. Walking 50 feet with a walker, demonstrating inhaler use, and reporting a pain level less than 4 are observable and measurable goals.
Question 3 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.
Question 4 of 5
A nurse assesses a patient who reports chest pain radiating down their arm. The nurse notes the patient is sweating and pale, BP 90/50 mmHg, pulse 120bpm, irregular. When developing the plan of care, what type of nursing diagnosis should the nurse use?
Correct Answer: B
Rationale: The patient has current symptoms of chest pain, sweating, pallor, hypotension, and an irregular pulse, indicating an actual nursing diagnosis for an existing problem.
Question 5 of 5
A nurse is assigned to four patients during a morning shift. Which patient should the nurse perform a focused assessment on first?
Correct Answer: D
Rationale: Sudden onset chest pain and shortness of breath can indicate a life-threatening condition such as myocardial infarction or pulmonary embolism. The nurse must immediately assess this patient.