ATI RN Fundamentals Proctored Exam: Expert-
Reviewed Questions & Answers Handpicked from
World-Leading Universities
A nursing instructor is reviewing documentation w/a group of nursing students. Which of
the following legal guidelines should they follow when documenting a client's record?
Select all.
A. Cover errors w/correction fluid, & write in the correct info
B. Put the date & time on all entries
C. Document objective data, leaving out opinions
D. Use as many abbreviations as possible
E. Wait until the end of the shift to document - -correct ans- -B, C
A nurse enters a client's room & 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?
A. The client fell in the shower.
B. The client states he fell in the shower & was able to get himself back into his chair
C. The nurse should not document this info because she did not witness the fall
D. The client fell in the shower & is now resting comfortably - -correct ans- -B.
By writing what the client states, the info is subjective data
A nursing instructor is reviewing documentation w/a group of nursing students. Which of
the following legal guidelines should they follow when documenting a client's record?
Select all.
A. Cover errors w/correction fluid, & write in the correct info
,B. Put the date & time on all entries
C. Document objective data, leaving out opinions
D. Use as many abbreviations as possible
E. Wait until the end of the shift to document - -correct ans- -B, C
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 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 didn't ambulate the
client today. The client sat in a chair during lunch w/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.
A. The physical therapist didn't ambulate the client today
B. The skin barrier's seal stays on in bed but loosens when the - -correct ans- -A, B, D
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 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 didn't ambulate the
client today. The client sat in a chair during lunch w/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.
A. The physical therapist didn't ambulate the client today
B. The skin barrier's seal stays on in bed but loosens when the - -correct ans- -A, B, D
, 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.
A. Repeat the details of the prescription back to the provider
B. Have another nurse listen to the telephone prescription
C. Obtain the prescriber's signature on the prescription within 24hrs
D. Decline the verbal prescription because it is not an emergency situation
E. Tell the charge nurse that the provider has prescribed morphine by telephone - -correct
ans- -A, B, C
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.
A. Repeat the details of the prescription back to the provider
B. Have another nurse listen to the telephone prescription
C. Obtain the prescriber's signature on the prescription within 24hrs
D. Decline the verbal prescription because it is not an emergency situation
E. Tell the charge nurse that the provider has prescribed morphine by telephone - -correct
ans- -A, B, C
A nurse is caring for an older adult client who lives alone & is to be discharged in 3 days. He
states that it is difficult to prepare adequate nutritious meals at home for just 1 person. To
which of the following members of the health care team should the nurse refer him?
A. Registered dietitian
B. Occupational therapist
Reviewed Questions & Answers Handpicked from
World-Leading Universities
A nursing instructor is reviewing documentation w/a group of nursing students. Which of
the following legal guidelines should they follow when documenting a client's record?
Select all.
A. Cover errors w/correction fluid, & write in the correct info
B. Put the date & time on all entries
C. Document objective data, leaving out opinions
D. Use as many abbreviations as possible
E. Wait until the end of the shift to document - -correct ans- -B, C
A nurse enters a client's room & 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?
A. The client fell in the shower.
B. The client states he fell in the shower & was able to get himself back into his chair
C. The nurse should not document this info because she did not witness the fall
D. The client fell in the shower & is now resting comfortably - -correct ans- -B.
By writing what the client states, the info is subjective data
A nursing instructor is reviewing documentation w/a group of nursing students. Which of
the following legal guidelines should they follow when documenting a client's record?
Select all.
A. Cover errors w/correction fluid, & write in the correct info
,B. Put the date & time on all entries
C. Document objective data, leaving out opinions
D. Use as many abbreviations as possible
E. Wait until the end of the shift to document - -correct ans- -B, C
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 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 didn't ambulate the
client today. The client sat in a chair during lunch w/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.
A. The physical therapist didn't ambulate the client today
B. The skin barrier's seal stays on in bed but loosens when the - -correct ans- -A, B, D
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 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 didn't ambulate the
client today. The client sat in a chair during lunch w/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.
A. The physical therapist didn't ambulate the client today
B. The skin barrier's seal stays on in bed but loosens when the - -correct ans- -A, B, D
, 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.
A. Repeat the details of the prescription back to the provider
B. Have another nurse listen to the telephone prescription
C. Obtain the prescriber's signature on the prescription within 24hrs
D. Decline the verbal prescription because it is not an emergency situation
E. Tell the charge nurse that the provider has prescribed morphine by telephone - -correct
ans- -A, B, C
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.
A. Repeat the details of the prescription back to the provider
B. Have another nurse listen to the telephone prescription
C. Obtain the prescriber's signature on the prescription within 24hrs
D. Decline the verbal prescription because it is not an emergency situation
E. Tell the charge nurse that the provider has prescribed morphine by telephone - -correct
ans- -A, B, C
A nurse is caring for an older adult client who lives alone & is to be discharged in 3 days. He
states that it is difficult to prepare adequate nutritious meals at home for just 1 person. To
which of the following members of the health care team should the nurse refer him?
A. Registered dietitian
B. Occupational therapist
