ATI RN
ATI Nur 237 Fundamentals Quiz Questions
Extract:
Question 1 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 2 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 3 of 5
The standing orders for a patient include acetaminophen 650 mg every 4 hours prn for headache. After assessing the patient, the nurse identifies the need for headache relief and determines that the patient has not had acetaminophen in the past 4 hours. Which action will the nurse take next?
Correct Answer: D
Rationale: The nurse has assessed the patient’s need for pain relief, confirmed that the patient has not received the medication in the past four hours, and verified that it falls within the provider’s orders. Since all criteria are met, the nurse should proceed with administering the medication as prescribed.
Question 4 of 5
A 65-year-old male patient with hypertension was recently started on a new antihypertensive medication. During the evaluation phase of the nursing process, which action should the nurse prioritize?
Correct Answer: D
Rationale: The evaluation phase focuses on determining if interventions, such as medications, have achieved the desired outcomes, making blood pressure assessment the priority.
Question 5 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.