ATI RN
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 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 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 4 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.
Question 5 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.