NUR 243 EXAM 1 ATI QUESTIONS, QUIZ QUESTIONS |
QUESTIONS AND VERIFIED ANSWERS
A charge nurse is reviewing documentation with a group of newly licensed nurses.
Which of the following legal guidelines should be followed when documenting in a
clients record? (Select all that apply)
A. Cover errors with correction fluid, and write in the correct information
B. Put the date and 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 - Answers - B, C
B. Put the date and time on all entries
C. Document objective data, leaving out opinions
A nurse is receiving a providers prescription by telephone for morphine for a client who
is reporting moderate to sever pain. Which of the following nurse actions are
appropriate? (Select all that apply)
A. Repeat the details of the prescription back to the provider
B. Have another nurse listen to the telephone prescription
C. Obtain the patients signature on the prescription within 24 hours
D. Decline the verbal prescription because it it is not an emergency situation
E. Tell the charge nurse that the provider has prescribed morphine by telephone -
Answers - A, B, C
A. Repeat the details of the prescription back to the provider
B. Have another nurse listen to the telephone prescription
C. Obtain the patients signature on the prescription within 24 hours
A nurse is discussing occurrences that require completion of an incident report with a
newly licensed nurse. Which of the following should the nurse include in the teaching?
(Select all that apply)
A. Medication Error
B. Needlesticks
C. Conflict with a provider and nursing staff
D. Omission of prescription
E. Missed specimen collection of a prescribed laboratory test - Answers - A, B, D
A. Medication Error
B. Needlesticks
,D. Omission of prescription
A nurse manager is discussing the HIPPA Privacy Rule with a group of newly hired
nurses during orientation. Which of the following information should the nurse manager
include? (Select all that apply)
A. A single electronic records password is provided for nurses on the same unit
B. Family members should provide a code prior to receiving client health info
C. Communication of client information can occur at the nurses station
D. A client can request a copy of their medical record
E. A nurse can photocopy a clients medical record to transfer to another facility -
Answers - B,C,D,E
B. Family members should provide a code prior to receiving client health info
C. Communication of client information can occur at the nurses station
D. A client can request a copy of their medical record
E. A nurse can photocopy a clients medical record to transfer to another facility
SOAP - Answers - Subjective, objective, assessment, plan
PIE - Answers - problem, intervention, evaluation
DAR (focus charting) - Answers - data, action, response
ABCDE Principle in Emergency Situations - Answers - Airway/cervical spine
Breathing
Circulation
Disability
Exposure
A nurse is providing info about how to reduce the risk of poisoning to a group of infants
and toddlers to a group of guardians. What information should nurse include? - Answers
- Keeping house plants and cleaning products out of reach, look for paint chips as those
at this age tend to consume these, poison control hotline readily available, place
poisonous products in locked cabinet, keep medications in child proof containers and
locked up, disposed of unused medications
A nurse is providing education on infant safety to a group of guardians. Which of the
following statements by a guardian indicates an understanding of the teaching?
A. I should line the crib with bumper pads
B. I will make sure the crib slats are no more than 3 inches apart
C. I should place the baby on their back when sleeping
D. I should place the baby in a vehicle safety seat facing forward in the back seat of a
car - Answers - C. I should place the baby on their back when sleeping
, A nurse is educating a new home health aide about home safety for the older adult.
What information should nurse include? - Answers - Loose/scatter rugs should be
removed, electrical and extension cords behind furniture and against wall, steps and
sidewalks in good repair, grab bars installed in bathroom, nonskid mat in tub/shower,
stool rise use, shower sear and bedside commode may be necessary, adequate
lighting, removal of clutter
A nurse is performing a primary survey for a client who has a life threating condition. In
which order should the nurse perform the assessment?
A. Check the clients LOC
B. Check the clients airway
C. Check the clients exposure to adverse elements
D. Check the clients ventilation
E. Check the clients circulation - Answers - B, D, E, A, C
B. Check the clients airway
D. Check the clients ventilation
E. Check the clients circulation
A. Check the clients LOC
C. Check the clients exposure to adverse elements
A home health nurse is assessing a client who experienced extreme heat exposure and
has a body temperature of 40 degrees C (104 degrees F). The nurse should anticipate
that the client will display which of the following manifestations?
A. Hypotension
B. Bradycardia
C. Clammy skin
D. Bradypnea - Answers - A. Hypotension
WARRIOR's tool for Med Admin - Answers - Why—What is reason this patient is
receiving this medication?
Allergies-Does the patient have allergies? If so, will I give or hold this medication?
Right laboratory values and vital signs—What are the laboratory values or vital signs
that are trending out of range in the patient? What laboratory and vital signs will be
impacted if this medication is administered or withheld?Should I give or withhold the
medication?
Range—What is the correct range? Is this dose incorrect or correct?
Implications and interactions—What are the implications and interactions of this drug?
Only—Am I the only nurse giving this medication?
Return—When should I return for reassessment (minutes/hours/normal surveillance)?
QUESTIONS AND VERIFIED ANSWERS
A charge nurse is reviewing documentation with a group of newly licensed nurses.
Which of the following legal guidelines should be followed when documenting in a
clients record? (Select all that apply)
A. Cover errors with correction fluid, and write in the correct information
B. Put the date and 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 - Answers - B, C
B. Put the date and time on all entries
C. Document objective data, leaving out opinions
A nurse is receiving a providers prescription by telephone for morphine for a client who
is reporting moderate to sever pain. Which of the following nurse actions are
appropriate? (Select all that apply)
A. Repeat the details of the prescription back to the provider
B. Have another nurse listen to the telephone prescription
C. Obtain the patients signature on the prescription within 24 hours
D. Decline the verbal prescription because it it is not an emergency situation
E. Tell the charge nurse that the provider has prescribed morphine by telephone -
Answers - A, B, C
A. Repeat the details of the prescription back to the provider
B. Have another nurse listen to the telephone prescription
C. Obtain the patients signature on the prescription within 24 hours
A nurse is discussing occurrences that require completion of an incident report with a
newly licensed nurse. Which of the following should the nurse include in the teaching?
(Select all that apply)
A. Medication Error
B. Needlesticks
C. Conflict with a provider and nursing staff
D. Omission of prescription
E. Missed specimen collection of a prescribed laboratory test - Answers - A, B, D
A. Medication Error
B. Needlesticks
,D. Omission of prescription
A nurse manager is discussing the HIPPA Privacy Rule with a group of newly hired
nurses during orientation. Which of the following information should the nurse manager
include? (Select all that apply)
A. A single electronic records password is provided for nurses on the same unit
B. Family members should provide a code prior to receiving client health info
C. Communication of client information can occur at the nurses station
D. A client can request a copy of their medical record
E. A nurse can photocopy a clients medical record to transfer to another facility -
Answers - B,C,D,E
B. Family members should provide a code prior to receiving client health info
C. Communication of client information can occur at the nurses station
D. A client can request a copy of their medical record
E. A nurse can photocopy a clients medical record to transfer to another facility
SOAP - Answers - Subjective, objective, assessment, plan
PIE - Answers - problem, intervention, evaluation
DAR (focus charting) - Answers - data, action, response
ABCDE Principle in Emergency Situations - Answers - Airway/cervical spine
Breathing
Circulation
Disability
Exposure
A nurse is providing info about how to reduce the risk of poisoning to a group of infants
and toddlers to a group of guardians. What information should nurse include? - Answers
- Keeping house plants and cleaning products out of reach, look for paint chips as those
at this age tend to consume these, poison control hotline readily available, place
poisonous products in locked cabinet, keep medications in child proof containers and
locked up, disposed of unused medications
A nurse is providing education on infant safety to a group of guardians. Which of the
following statements by a guardian indicates an understanding of the teaching?
A. I should line the crib with bumper pads
B. I will make sure the crib slats are no more than 3 inches apart
C. I should place the baby on their back when sleeping
D. I should place the baby in a vehicle safety seat facing forward in the back seat of a
car - Answers - C. I should place the baby on their back when sleeping
, A nurse is educating a new home health aide about home safety for the older adult.
What information should nurse include? - Answers - Loose/scatter rugs should be
removed, electrical and extension cords behind furniture and against wall, steps and
sidewalks in good repair, grab bars installed in bathroom, nonskid mat in tub/shower,
stool rise use, shower sear and bedside commode may be necessary, adequate
lighting, removal of clutter
A nurse is performing a primary survey for a client who has a life threating condition. In
which order should the nurse perform the assessment?
A. Check the clients LOC
B. Check the clients airway
C. Check the clients exposure to adverse elements
D. Check the clients ventilation
E. Check the clients circulation - Answers - B, D, E, A, C
B. Check the clients airway
D. Check the clients ventilation
E. Check the clients circulation
A. Check the clients LOC
C. Check the clients exposure to adverse elements
A home health nurse is assessing a client who experienced extreme heat exposure and
has a body temperature of 40 degrees C (104 degrees F). The nurse should anticipate
that the client will display which of the following manifestations?
A. Hypotension
B. Bradycardia
C. Clammy skin
D. Bradypnea - Answers - A. Hypotension
WARRIOR's tool for Med Admin - Answers - Why—What is reason this patient is
receiving this medication?
Allergies-Does the patient have allergies? If so, will I give or hold this medication?
Right laboratory values and vital signs—What are the laboratory values or vital signs
that are trending out of range in the patient? What laboratory and vital signs will be
impacted if this medication is administered or withheld?Should I give or withhold the
medication?
Range—What is the correct range? Is this dose incorrect or correct?
Implications and interactions—What are the implications and interactions of this drug?
Only—Am I the only nurse giving this medication?
Return—When should I return for reassessment (minutes/hours/normal surveillance)?
