ATI PN PEDIATRICS PROCTORED EXAM
1. The nurse completes a thorough assessment of a patient and analyzes the
data to identify nursing diagnoses. Which step will the nurse take next in thenursing process?
a. Assessment
b. Diagnosis
c. Planning
d. Implementation
ANS: C
After identifying a patient’s nursing diagnoses and collaborative problems, a nurseprioritizes the diagnoses, sets
patient-centered goals and expected outcomes, and chooses nursing interventions appropriate for each diagnosis.
This is the third stepof the nursing process, planning. The assessment phase of the nursing process involves
gathering data. The implementation phase involves carrying out appropriate nursing interventions. During the
evaluation phase, the nurse assesses the achievement of goals and effectiveness of interventions.
2. A patient’s plan of care includes the goal of increasing mobility this shift. Asthe patient is ambulating to the
bathroom at the beginning of the shift, the patient
suffers a fall. Which initial action will the nurse take next to revise the plan ofcare?
a. Consult physical therapy.
b. Establish a new plan of care.
c. Set new priorities for the patient.
d. Assess the patient.
ATI PN
, ANS: D
1
Nurses revise a plan when a patient’s status changes; assessment is the first step. Know also that a plan of
care is dynamic and changes as the patient’s needs change. Asking physical therapy to assist the patient is
premature before assessing the patient and awaiting the health care provider’s orders. The nurse may not need to
disregard all previous diagnoses. Some diagnoses may still apply, but the patientneeds to be assessed first. Setting
new priorities is not recommended before assessment and establishing diagnoses.
3. Which information indicates a nurse has a good understanding of a goal?
It is a statement describing the patient’s accomplishments without a
a. time restriction.
It is a realistic statement predicting any negative responses to
b. treatments. It is a broad statement describing a desired change in a patient’s
c. behavior.
d. It is a measurable change in a patient’s physical state.
ANS: C
A goal is a broad statement that describes a desired change in a patient’s conditionor behavior. A goal is mutually set with
h h h h h h h h h h h h h h h h h h h h h h
the patient. An expected outcome is the measurable changes (patient behavior, physical state, or perception) that must
h h h h h h h h h h h h h h h h h
be achieved to reach a goal. Expected outcomes are time limited, measurable ways ofdetermining if a goal is met.
h h h h h h h h h h h h h h h h h h
4. A nurse is developing a care plan for a patient with a pelvic fracture on
h h h h h h h h h h h h h h h
bed rest. Which goal statement is realistic for the nurse to assign to this patient?
h h h h h h h h h h h h h h
a. Patient will increase activity level this shift.
h h h h h h
b. Patient will turn side to back to side withassistance every 2
h h h h h h h h h h h
hours. Patient will usethe walker correctly to ambulate to the
h h h h h h h h h h
as
bathroom h
ATI PN
1. The nurse completes a thorough assessment of a patient and analyzes the
data to identify nursing diagnoses. Which step will the nurse take next in thenursing process?
a. Assessment
b. Diagnosis
c. Planning
d. Implementation
ANS: C
After identifying a patient’s nursing diagnoses and collaborative problems, a nurseprioritizes the diagnoses, sets
patient-centered goals and expected outcomes, and chooses nursing interventions appropriate for each diagnosis.
This is the third stepof the nursing process, planning. The assessment phase of the nursing process involves
gathering data. The implementation phase involves carrying out appropriate nursing interventions. During the
evaluation phase, the nurse assesses the achievement of goals and effectiveness of interventions.
2. A patient’s plan of care includes the goal of increasing mobility this shift. Asthe patient is ambulating to the
bathroom at the beginning of the shift, the patient
suffers a fall. Which initial action will the nurse take next to revise the plan ofcare?
a. Consult physical therapy.
b. Establish a new plan of care.
c. Set new priorities for the patient.
d. Assess the patient.
ATI PN
, ANS: D
1
Nurses revise a plan when a patient’s status changes; assessment is the first step. Know also that a plan of
care is dynamic and changes as the patient’s needs change. Asking physical therapy to assist the patient is
premature before assessing the patient and awaiting the health care provider’s orders. The nurse may not need to
disregard all previous diagnoses. Some diagnoses may still apply, but the patientneeds to be assessed first. Setting
new priorities is not recommended before assessment and establishing diagnoses.
3. Which information indicates a nurse has a good understanding of a goal?
It is a statement describing the patient’s accomplishments without a
a. time restriction.
It is a realistic statement predicting any negative responses to
b. treatments. It is a broad statement describing a desired change in a patient’s
c. behavior.
d. It is a measurable change in a patient’s physical state.
ANS: C
A goal is a broad statement that describes a desired change in a patient’s conditionor behavior. A goal is mutually set with
h h h h h h h h h h h h h h h h h h h h h h
the patient. An expected outcome is the measurable changes (patient behavior, physical state, or perception) that must
h h h h h h h h h h h h h h h h h
be achieved to reach a goal. Expected outcomes are time limited, measurable ways ofdetermining if a goal is met.
h h h h h h h h h h h h h h h h h h
4. A nurse is developing a care plan for a patient with a pelvic fracture on
h h h h h h h h h h h h h h h
bed rest. Which goal statement is realistic for the nurse to assign to this patient?
h h h h h h h h h h h h h h
a. Patient will increase activity level this shift.
h h h h h h
b. Patient will turn side to back to side withassistance every 2
h h h h h h h h h h h
hours. Patient will usethe walker correctly to ambulate to the
h h h h h h h h h h
as
bathroom h
ATI PN
