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ATI: Engage Fundamentals RN2.0 – Documentation Questions and Answers Rated A+ $9.99   Add to cart

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ATI: Engage Fundamentals RN2.0 – Documentation Questions and Answers Rated A+

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ATI: Engage Fundamentals RN2.0 – Documentation Questions and Answers Rated A+ What information should be included when documenting a patient’s vital signs? Include the date and time of measurement, the specific vital signs recorded (e.g., temperature, pulse, respiration rate, blood pr...

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  • September 1, 2024
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  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • ATI: Engage Fundamentals
  • ATI: Engage Fundamentals
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ATI: Engage Fundamentals RN2.0 –
Documentation Questions and Answers
Rated A+
What information should be included when documenting a patient’s vital signs?


✔✔ Include the date and time of measurement, the specific vital signs recorded (e.g.,

temperature, pulse, respiration rate, blood pressure), and any deviations from normal ranges.




How should a nurse document an unexpected change in a patient’s condition?


✔✔ Document the date and time of the change, a detailed description of the condition, any

actions taken, and the patient’s response to those actions.




What is the correct way to document a patient’s allergies?


✔✔ Clearly record the specific allergens, the type of reaction experienced, and any relevant

medical history related to the allergies.




How should a nurse document patient teaching and educational sessions?


✔✔ Note the topics covered, the patient’s understanding and any questions asked, and any

educational materials provided or recommended.




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, What should be documented if a patient is admitted with a known chronic condition?


✔✔ Document the chronic condition, the current status, any recent changes or complications,

and the patient’s treatment plan or ongoing management.




How does documenting patient consent contribute to nursing practice?


✔✔ Documenting patient consent ensures that the patient is informed about the procedures and

treatments, agrees to them, and provides a legal record of their consent.




What is the importance of documenting patient assessments regularly?


✔✔ Regular documentation of patient assessments helps track changes in the patient’s condition,

ensures timely interventions, and provides a complete record of care over time.




How should a nurse document incidents or errors in patient care?


✔✔ Document the incident or error factually, including what happened, the actions taken to

address it, any patient outcomes, and steps to prevent recurrence.




What should a nurse include when documenting a patient’s response to a new treatment?


✔✔ Document the treatment administered, the patient’s immediate and ongoing response, any

side effects observed, and the effectiveness of the treatment.

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