Questions 35

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ATI RN Test Bank

ATI Nur 237 Fundamentals Quiz Questions

Extract:


Question 1 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.

Question 2 of 5

A nurse is caring for a patient with a nursing diagnosis of Constipation related to slowed gastrointestinal motility secondary to pain medications. Which outcome is most appropriate for the nurse to include in the plan of care?

Correct Answer: B

Rationale: This outcome is specific, measurable, achievable, realistic, and time-bound (SMART), directly addressing the problem of constipation and providing a clear indicator of improvement.

Question 3 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.

Question 4 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 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.

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