2024 RN ATI Fundamentals Proctored Exam New Latest
Version Best Studying Material With All Questions,
Answers And Rationale
By the second postoperative day, a client has not achieved
satisfactory pain relief. Based on this evaluation, what should
the nurse do next according to the nurse process? - ANSWER
Reassess the client to determine the reasons for
unsatisfactory pain relief.
A nursing instructor is reviewing the steps of the nursing
process with a group of nursing students. The students should
identify which of the following data as objective? (select all that
apply) - ANSWER -Respiratory rate of 22/min. with even
unlabored respirations.
-Skin pink, warm, and dry
-Urine output of 300 mL/8 hr
-Dressing clean, dry, and intact
A nursing instructor is reviewing which actions nurses can
initiate wit a provider's prescription with with a group of
nursing students. The students should identify which of the
following interventions as nurse-initiated? (Select all that apply)
- ANSWER -Show a client how to use progressive muscle
relaxation.
-Perform a daily bath after the evening meal.
-Reposition a client every 2 hr to reduce pressure ulcer risk.
,During evaluation, the nurse must gather information about the
client to: - ANSWER Identify whether the client outcomes
have been met.
A nursing student is reporting to the clinical instructor about
the care she gave to a client. She states: "The client said his leg
pain was back, so I checked his medical record, and he last
received his pain medication 6 hr ago. The prescription reads
every 4 hr PRN for pain, so I decided he needs it. I asked the
unit nurse to observe me preparing and administering it. I
checked with the client 40 min. late, and he said his pain was
going away." The instructor should inform the student that she
left out which of the following steps of the nursing process? -
ANSWER Assessment
A Nurse is preparing information for change-of-shift report.
Which of the following information should the nurse include in
the report? - ANSWER A bone scan that is scheduled for
today.
A nurse enters a client's room and finds him sitting in his chair.
He states, "I fell in the shower, but I got myself back up into my
chair." How should the nurse document this in the client's
chart? - ANSWER The client states he fell in the shower and
was able to get himself back into his chair.
A nurse instructor is reviewing documentation with a group of
nursing students. Which of the following legal guidelines should
, the follow hen documenting in a client's record? (Select all that
apply.) - ANSWER -Put the date and time on all entries.
-Document objective data, leave out opinions.
The skin barrier covering a client's intestinal fistula keeps falling
off when she stands up to ambulate.
The nurse has reapplied it twice during the current shift, but it
remains intact only when the client is supine in bed. The nurse
telephoned the physical therapist about the difficulties
containing the drainage from the fistula, so the therapist did
not ambulate the client today. The client sat in a chair during
lunch with an absorbent pad over the fistula. The client ate all
the food on her tray. The wound care nurse confirmed that she
will see the client later today. The client states she feels
frustrated at not having physical therapy, but the nurse thinks
the client welcomed having a day to rest. Which of the
following information should the nurse include in the change-
of-shift report? (Select all that apply.) - ANSWER -The
physical therapist did not ambulate the client today.
-The skin barrier's seal stays on in bed but loosens when the
client stands.
-The wound care nurse will see the client later today.
A nurse is receiving a provider's prescription by telephone for
morphine for a client who is reporting moderate to severe pain.
Which of the following nursing actions are appropriate? (Select
all that apply.) - ANSWER -Repeat the details of the
prescription back to the provider.
-Have another nurse listen to the telephone prescription.
Version Best Studying Material With All Questions,
Answers And Rationale
By the second postoperative day, a client has not achieved
satisfactory pain relief. Based on this evaluation, what should
the nurse do next according to the nurse process? - ANSWER
Reassess the client to determine the reasons for
unsatisfactory pain relief.
A nursing instructor is reviewing the steps of the nursing
process with a group of nursing students. The students should
identify which of the following data as objective? (select all that
apply) - ANSWER -Respiratory rate of 22/min. with even
unlabored respirations.
-Skin pink, warm, and dry
-Urine output of 300 mL/8 hr
-Dressing clean, dry, and intact
A nursing instructor is reviewing which actions nurses can
initiate wit a provider's prescription with with a group of
nursing students. The students should identify which of the
following interventions as nurse-initiated? (Select all that apply)
- ANSWER -Show a client how to use progressive muscle
relaxation.
-Perform a daily bath after the evening meal.
-Reposition a client every 2 hr to reduce pressure ulcer risk.
,During evaluation, the nurse must gather information about the
client to: - ANSWER Identify whether the client outcomes
have been met.
A nursing student is reporting to the clinical instructor about
the care she gave to a client. She states: "The client said his leg
pain was back, so I checked his medical record, and he last
received his pain medication 6 hr ago. The prescription reads
every 4 hr PRN for pain, so I decided he needs it. I asked the
unit nurse to observe me preparing and administering it. I
checked with the client 40 min. late, and he said his pain was
going away." The instructor should inform the student that she
left out which of the following steps of the nursing process? -
ANSWER Assessment
A Nurse is preparing information for change-of-shift report.
Which of the following information should the nurse include in
the report? - ANSWER A bone scan that is scheduled for
today.
A nurse enters a client's room and finds him sitting in his chair.
He states, "I fell in the shower, but I got myself back up into my
chair." How should the nurse document this in the client's
chart? - ANSWER The client states he fell in the shower and
was able to get himself back into his chair.
A nurse instructor is reviewing documentation with a group of
nursing students. Which of the following legal guidelines should
, the follow hen documenting in a client's record? (Select all that
apply.) - ANSWER -Put the date and time on all entries.
-Document objective data, leave out opinions.
The skin barrier covering a client's intestinal fistula keeps falling
off when she stands up to ambulate.
The nurse has reapplied it twice during the current shift, but it
remains intact only when the client is supine in bed. The nurse
telephoned the physical therapist about the difficulties
containing the drainage from the fistula, so the therapist did
not ambulate the client today. The client sat in a chair during
lunch with an absorbent pad over the fistula. The client ate all
the food on her tray. The wound care nurse confirmed that she
will see the client later today. The client states she feels
frustrated at not having physical therapy, but the nurse thinks
the client welcomed having a day to rest. Which of the
following information should the nurse include in the change-
of-shift report? (Select all that apply.) - ANSWER -The
physical therapist did not ambulate the client today.
-The skin barrier's seal stays on in bed but loosens when the
client stands.
-The wound care nurse will see the client later today.
A nurse is receiving a provider's prescription by telephone for
morphine for a client who is reporting moderate to severe pain.
Which of the following nursing actions are appropriate? (Select
all that apply.) - ANSWER -Repeat the details of the
prescription back to the provider.
-Have another nurse listen to the telephone prescription.
