ATI PN MED SURG PROCTORED EXAM
(Comprehensive Solutions)
1. A care giver who is caring for a client with a pressure ulcer applies the
recommended dressing according to hospital policy. Which standard is the
care giver following?
a. Fairness
b. Intellectual standards
c. Independent reasoning
d. Institutional practice guidelines
ANSWER: D
The standards of professional responsibility that a care giver tries to achieve
arethe standards cited in Care giver Practice Acts, institutional practice
guidelines (hospital/facility policy), and professional organizations’
standards of practice (e.g., The American Care givers Association Standards
of Professional Performance). Intellectual standards are guidelines or
principles for rationalthought. Fairness and independent reasoning are two
examples of critical thinking attitudes that are designed to help care givers
make clinical decisions.
2. A care giver is reviewing care plans. Which finding, if identified in a plan of
care, should the registered care giver revise?
a. Client’s outcomes for learning
b. Care giver’s assumptions about hospital discharge
c. Identification of several actual health problems
d. Documentation of client’s ability to meet the goal
ANSWER: B
The care giver should not assume when a client is going to be discharged
and document this information in a plan of care. Making assumptions is not
an example of a critical thinking skill. The purpose of the nursing process is
to diagnose and treat human responses (e.g., client symptoms, need for
knowledge) to actual or potential health problems. Use of the process allows
care givers to help clients meet agreed-on outcomes for better health. The
client’s outcomes, having several actual health problems, and a description 1
of the client’s abilities to meet the goal are all appropriate to document in the
GUARANTEED A+ 2023 EXZAM
,nursing plan of care.
3. In which order will the care giver use the nursing process steps
during theclinical decision-making process?
1. Evaluating goals
2. Assessing client needs
3. Planning priorities of care
4. Determining nursing diagnoses
5. Implementing nursing interventions
a. 2, 4, 3, 5, 1
b. 4, 3, 2, 1, 5
c. 1, 2, 4, 5, 3
d. 5, 1, 2, 3, 4
ANSWER A
The American Care givers Association developed standards that set forth the
framework necessary for critical thinking in the application of the five-step
nursing process: assessment, diagnosis, planning, implementation, and
evaluation.
MULTIPLE RESPONSE
1. Which findings will alert the care giver that stress is present when making
a clinical decision? (Select all that apply.)
a. Tense muscles
b. Reactive responses
c. Trouble concentrating
d. Very tired feelings
e. Managed emotions
ANSWER A, B, C, D
Learn to recognize when you are feeling stressed—your muscles will tense,
you become reactive when others communicate with you, you have trouble
concentrating, and you feel very tired. Emotions are not managed when
stressed.
2
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, The care giver is using critical thinking skills during the first phase of the
nursing process. Which action indicates the care giver is in the first phase?
a. Completes a comprehensive database
b. Identifies pertinent nursing diagnoses
c. Intervenes based on priorities of client care
d. Determines whether outcomes have been achieved
ANSWER A
The assessment phase of the nursing process involves data collection to
complete a thorough client database and is the first phase. Identifying
nursing diagnoses occurs during the diagnosis phase or second phase. The
care giver carries out interventions during the implementation phase (fourth
phase), and determining whether outcomes have been achieved takes place
during the evaluation phase (fifth phase) of the nursing process.
2. A care giver is using the problem-oriented approach to data collection.
Whichaction will the care giver take first?
a. Complete the questions in chronological order.
b. Focus on the client’s presenting situation.
c. Make accurate interpretations of the data.
d. Conduct an observational overview.
ANSWER B
A problem-oriented approach focuses on the client’s current problem or
presenting situation rather than on an observational overview. The database is
not always completed using a chronological approach if focusing on the
current problem. Making interpretations of the data is not data collection. Data
interpretation occurs while appropriate nursing diagnoses are assigned. The
question is asking about data collection.
3. After reviewing the database, the care giver discovers that the client’s
vitalsigns have not been recorded by the nursing assistive personnel (NAP).
Which clinical decision should the care giver make?
3
Administer scheduled medications assuming that the NAP would have
a. reported abnormal vital signs.
GUARANTEED A+ 2023 EXZAM
(Comprehensive Solutions)
1. A care giver who is caring for a client with a pressure ulcer applies the
recommended dressing according to hospital policy. Which standard is the
care giver following?
a. Fairness
b. Intellectual standards
c. Independent reasoning
d. Institutional practice guidelines
ANSWER: D
The standards of professional responsibility that a care giver tries to achieve
arethe standards cited in Care giver Practice Acts, institutional practice
guidelines (hospital/facility policy), and professional organizations’
standards of practice (e.g., The American Care givers Association Standards
of Professional Performance). Intellectual standards are guidelines or
principles for rationalthought. Fairness and independent reasoning are two
examples of critical thinking attitudes that are designed to help care givers
make clinical decisions.
2. A care giver is reviewing care plans. Which finding, if identified in a plan of
care, should the registered care giver revise?
a. Client’s outcomes for learning
b. Care giver’s assumptions about hospital discharge
c. Identification of several actual health problems
d. Documentation of client’s ability to meet the goal
ANSWER: B
The care giver should not assume when a client is going to be discharged
and document this information in a plan of care. Making assumptions is not
an example of a critical thinking skill. The purpose of the nursing process is
to diagnose and treat human responses (e.g., client symptoms, need for
knowledge) to actual or potential health problems. Use of the process allows
care givers to help clients meet agreed-on outcomes for better health. The
client’s outcomes, having several actual health problems, and a description 1
of the client’s abilities to meet the goal are all appropriate to document in the
GUARANTEED A+ 2023 EXZAM
,nursing plan of care.
3. In which order will the care giver use the nursing process steps
during theclinical decision-making process?
1. Evaluating goals
2. Assessing client needs
3. Planning priorities of care
4. Determining nursing diagnoses
5. Implementing nursing interventions
a. 2, 4, 3, 5, 1
b. 4, 3, 2, 1, 5
c. 1, 2, 4, 5, 3
d. 5, 1, 2, 3, 4
ANSWER A
The American Care givers Association developed standards that set forth the
framework necessary for critical thinking in the application of the five-step
nursing process: assessment, diagnosis, planning, implementation, and
evaluation.
MULTIPLE RESPONSE
1. Which findings will alert the care giver that stress is present when making
a clinical decision? (Select all that apply.)
a. Tense muscles
b. Reactive responses
c. Trouble concentrating
d. Very tired feelings
e. Managed emotions
ANSWER A, B, C, D
Learn to recognize when you are feeling stressed—your muscles will tense,
you become reactive when others communicate with you, you have trouble
concentrating, and you feel very tired. Emotions are not managed when
stressed.
2
GUARANTEED A+ 2023 EXZAM
, The care giver is using critical thinking skills during the first phase of the
nursing process. Which action indicates the care giver is in the first phase?
a. Completes a comprehensive database
b. Identifies pertinent nursing diagnoses
c. Intervenes based on priorities of client care
d. Determines whether outcomes have been achieved
ANSWER A
The assessment phase of the nursing process involves data collection to
complete a thorough client database and is the first phase. Identifying
nursing diagnoses occurs during the diagnosis phase or second phase. The
care giver carries out interventions during the implementation phase (fourth
phase), and determining whether outcomes have been achieved takes place
during the evaluation phase (fifth phase) of the nursing process.
2. A care giver is using the problem-oriented approach to data collection.
Whichaction will the care giver take first?
a. Complete the questions in chronological order.
b. Focus on the client’s presenting situation.
c. Make accurate interpretations of the data.
d. Conduct an observational overview.
ANSWER B
A problem-oriented approach focuses on the client’s current problem or
presenting situation rather than on an observational overview. The database is
not always completed using a chronological approach if focusing on the
current problem. Making interpretations of the data is not data collection. Data
interpretation occurs while appropriate nursing diagnoses are assigned. The
question is asking about data collection.
3. After reviewing the database, the care giver discovers that the client’s
vitalsigns have not been recorded by the nursing assistive personnel (NAP).
Which clinical decision should the care giver make?
3
Administer scheduled medications assuming that the NAP would have
a. reported abnormal vital signs.
GUARANTEED A+ 2023 EXZAM
