ATI RN
ATI Nur 237 Fundamentals Quiz Questions
Extract:
Question 1 of 5
When using the PIE format for documentation, which of the following elements should the nurse include under 'P'?
Correct Answer: A
Rationale: In the PIE documentation format, 'P' stands for 'Problem,' which refers to the nursing diagnosis or issue identified based on assessment findings. This section describes the primary concern that requires intervention.
Question 2 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 3 of 5
Which of the following signs is most indicative of impaired skin integrity?
Correct Answer: B
Rationale: Partial-thickness skin loss indicates that the protective barrier of the skin has been compromised. This is a clear sign of impaired skin integrity, which requires appropriate assessment and intervention to promote healing and prevent infection.
Question 4 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 5 of 5
Which scenario best illustrates the nurse using data validation when making a nursing clinical decision for a patient?
Correct Answer: A
Rationale: Data validation involves verifying information before taking action. The nurse gathers subjective data (time of last dressing change) and objective data (drainage) before deciding to remove the dressing.