ATI Nur112 Fundamentals Proctored Exam 2

Which is the first action of the nurse when starting care for the patient at the beginning of the shift?

Which patient's needs must be addressed first by the nurse?

Which chart entry represents appropriate documentation about the patient's pain assessment?

Which of the following statements are true regarding hand-off reports? Select the 3 correct answers.

The person responsible for analyzing and interpreting data to arrive at a nursing diagnosis is the:

The physician orders 350,000 units of Penicillin G IM now for a patient with a positive strep infection. What is the most appropriate diluent amount for this patient? See LABEL #1 (Penicillin G)

The major difference between the nursing diagnoses "inadequate nutritional intake related to vomiting as manifested by 3-pound weight loss" and "risk for impaired skin integrity related to inadequate

Which statement by the nurse accurately reflects a benefit of installing a new electronic medical record system?

A nurse is reviewing new orders for an ambulate patient four times a day.

The nurse becomes frustrated when a patient insists on taking herbal remedies rather than prescribed medications and spends certain hours of each day in prayer.The patient also prefers the care of the

A nurse is preparing to document a client's information in the electronic medical record.Which of the following nursing statements identifies the purpose of documentation?

When the nurse charts only additional treatments done, abnormal findings, changes in patient condition, and new concerns, the system of documentation is:

Adherence to the concept of confidentiality for the patient's medical record requires that the nurse:

The nurse is caring for an unconscious patient.The nurse repositions the patient at least every 2 hours and ensures that all of the patient's bony prominences are padded.What is the rationale for thes

Which statement by the nurse accurately reflects a benefit of installing a new electronic medical record system?

A nurse is discussing informatics with a newly licensed nurse.The nurse identifies that informatics is defined as the use of information and technology for which of the following?

An example of an appropriate nursing diagnosis is:

A charge nurse is reinforcing teaching with a newly licensed nurse about accessing a client's medical records.Which of the following should the nurse include?

A nurse is documenting in a client's health record using the problem-intervention-evaluation charting model (PIE). Which of the following information should be included in the Intervention?

The nurse is assessing a patient with chest pain who has just come to the hospital. Which open-ended query will provide the nurse with helpful information about the patient's health status?

A charge nurse is reviewing legal guidelines for documentation with a newly licensed nurse.Which of the following should the charge nurse include in the teaching? (Select 3 options)

The client in room 108 has been prescribed new pain medication.A nurse is providing change-of-shift report to the oncoming nurse.Which of the following information should the nurse include in the repo

The nurse has just completed teaching the patient how to self-administer insulin injections.Which entry in the patient’s chart demonstrates that the teaching was successful?

The nurse is caring for a nonverbal client who is moaning with position changes, the hands and teeth are clenched, and the skin is very diaphoretic.The nurse interprets this as the client is experienc

Crystal starts the data collection.What would she want to accomplish during the interview with Mr. Rhodes? (SELECT 4 CORRECT ANSWERS)