NURSING ATI Fundamentals Proctored Exam Review /STUDY GUIDE 2020/2021 A GRADE

NURSING ATI Fundamentals Proctored Exam Review /STUDY GUIDE 20202/2021 A GRADE Nursing Process- ATI Fundamentals Ch. 7 Assessment/ Data Collection ▪ Pt. interview ▪ Medical history ▪ Physical assessment ▪ Lab reports ▪ S/S, feelings ▪ Objective data VS Analysis ▪ ID pt. health status ▪ Recognize trends and patterns Planning ▪ Nurse initiated/Independent Interventions ▪ Provider-Initiated/Dependent interventions ▪ Collaborative interventions ▪ Establish priorities Implementation ▪ Base care according to data and plan of care ▪ Use problem-solving and critical thinking ▪ Minimize risks ▪ Implement nursing action based on delegation Evaluation ▪ Evaluate client responses to interventions for form clinical judgement ▪ See if goals are met ▪ Determine effectiveness of nursing care plan Practice Question: A nurse is discussing the nursing process with a newly hired nurse. Which of the following statements by the newly hired nurse should the nurse identify as appropriate for the planning step of the nursing process? A. “I will determine the most important client problems that we should address.” B. “I will review the past medical history on the client’s record to get more information.” C. “I will go carry out the new prescriptions from the provider.” D. “I will ask the client if his nausea has resolved.” Practice Question: By the second postoperative day, a client has not achieved satisfactory pain relief. Based on this evaluation, which of the following actions should the nurse take, according to the nursing process? A. Reassess the client to determine the reasons for inadequate pain relief. B. Wait to see whether the pain lessens during the next 24 hr. C. Change the plan of care to provide different pain relief interventions. D. Teach the client about the plan of care for managing his pain