ATI Fundamentals for Nursing Edition 13
|Verified!!| 2025/2024
In nursing practice, which is considered the primary purpose of the nursing assessment?
To collect comprehensive data pertinent to the patient's health status.
When documenting a patient's vital signs, which of the following woul...
ATI Fundamentals for Nursing Edition 13
|Verified!!| 2025/2024
In nursing practice, which is considered the primary purpose of the nursing assessment?
To collect comprehensive data pertinent to the patient's health status.
When documenting a patient's vital signs, which of the following would be considered the
normal range for adult blood pressure?
90/60 mmHg to 120/80 mmHg.
In the context of infection control, what is the most effective method to prevent the spread of
pathogens?
Hand hygiene.
Which nursing intervention is appropriate for a patient experiencing acute pain?
Administering prescribed analgesics.
In the process of patient education, what is the best approach to ensure understanding?
Using teach-back methods to confirm comprehension.
What is the recommended angle for administering an intramuscular injection in the deltoid
muscle?
90 degrees.
1
,In providing care for a patient with a fall risk, which intervention is most effective?
Ensuring that the patient's environment is free of hazards.
What should the nurse prioritize when caring for a patient with a newly placed urinary catheter?
Monitoring for signs of infection.
Which of the following is a sign of anaphylaxis?
Difficulty breathing.
In the assessment of a patient with a respiratory condition, which finding would be most
concerning?
Stridor.
What is the primary reason for conducting a pre-operative assessment?
To identify potential risks and ensure patient safety.
In caring for a patient receiving anticoagulant therapy, which lab value is most important for the
nurse to monitor?
INR (International Normalized Ratio).
What is the most appropriate nursing action when a patient exhibits signs of a panic attack?
2
, Providing a calm and reassuring presence.
Which documentation method best supports continuity of care?
Using electronic health records with standardized templates.
When performing a head-to-toe assessment, what is the correct order of assessment techniques?
Inspection, palpation, percussion, auscultation.
What is the primary purpose of establishing a nurse-patient therapeutic relationship?
To promote trust and effective communication.
In dietary assessments, which factor is most important for evaluating nutritional status?
A patient’s dietary history.
Which action should the nurse take first when a patient is in respiratory distress?
Assess the airway.
In the context of patient safety, what does the acronym RACE stand for?
Rescue, Alarm, Contain, Extinguish.
What is the purpose of using evidence-based practice in nursing?
To improve patient outcomes based on the best available evidence.
3
, In the context of cultural competence, what is the most important aspect for nurses to consider?
Respecting patients' cultural beliefs and practices.
When educating a patient about medication adherence, which strategy is most effective?
Simplifying the medication regimen.
What should the nurse do if a patient refuses medication?
Respect the patient’s autonomy and document the refusal.
Which nursing intervention is most effective in preventing skin breakdown in immobile patients?
Frequent repositioning.
What is the best practice for disposing of hazardous materials in the healthcare setting?
Following facility protocols for biohazard waste disposal.
In terms of communication, what is the best method for a nurse to use when talking to a patient
with hearing impairment?
Speaking slowly and clearly while ensuring good eye contact.
When assessing a patient’s pain, which scale is commonly used for adults?
The numeric rating scale (0-10).
4
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