ATI MED SURG PROCTORED EXAM
(Detail Solutions)
1. The nurse is attempting to prompt the patient to elaborate on the reports of
daytime fatigue. Which question should the nurse ask?
“Is there anything that you are stressed about right now that I should
a. know?”
b. “What reasons do you think are contributing to your fatigue?”
c. “What are your normal work hours?”
d. “Are you sleeping 8 hours a night?”
ANS: B
The question asking the patient what factors might be contributing to the
fatigue will elicit the best open-ended response. Asking whether the patient is
stressed and asking if the patient is sleeping 8 hours a night are closed- ended
questions eliciting simple yes or no responses. Asking about normal work
hours will elicit a matter-of- fact response and does not prompt the patient to
elaborate on the daytime fatigue or ask about the contributing reasons.
2. A nurse is conducting a nursing health history. Which component will the
nurse address?
a. Nurse’s concerns
b. Patient expectations
c. Current treatment orders
d. Nurse’s goals for the patient
ANS: B
Some components of a nursing health history include chief concern, patient
1
expectations, spiritual health, and review of systems. Current treatment
orders are located under the Orders section in the patient’s chart and are not
, a part of the nursing health history. Patient concerns, not nurse’s concerns,
are included in the database.
Goals that are mutually established, not nurse’s goals, are part of the nursing
care plan.
3. While the patient’s lower extremity, which is in a cast, is assessed, the
patient tells the nurse about an inability to rest at night. The nurse
disregards this information, thinking that no correlation has been noted
between having
a leg cast and developing restless sleep. Which action would have been best
for the nurse to take?
a. Tell the patient to just focus on the leg and cast right now.
b. Document the sleep patterns and information in the patient’s chart.
c. Explain that a more thorough
assessment will be needed next shift.
Ask the patient about usual sleep
patterns and the onset of having
d. difficulty resting.
ANS: D
The nurse must use critical thinking skills in this situation to assess first in
this situation. The best response is to gather more assessment data by asking
the patient about usual sleep patterns and the onset of having difficulty
resting. The nurse should assess before documenting and should not ignore
the patient’s report of a problem or postpone it till the next shift.
4. The nurse begins a shift assessment by examining a surgical dressing that is
saturated with serosanguineous drainage on a patient who had open abdominal
surgery yesterday (or 1 day ago). Which type of assessment approach is the
nurse using?
a. Gordon’s Functional Health Patterns
b. Activity-exercise pattern assessment
c. General to specific assessment
d. Problem-oriented assessment
ANS: D
2
The nurse is not doing a complete, general assessment and then focusing on
(Detail Solutions)
1. The nurse is attempting to prompt the patient to elaborate on the reports of
daytime fatigue. Which question should the nurse ask?
“Is there anything that you are stressed about right now that I should
a. know?”
b. “What reasons do you think are contributing to your fatigue?”
c. “What are your normal work hours?”
d. “Are you sleeping 8 hours a night?”
ANS: B
The question asking the patient what factors might be contributing to the
fatigue will elicit the best open-ended response. Asking whether the patient is
stressed and asking if the patient is sleeping 8 hours a night are closed- ended
questions eliciting simple yes or no responses. Asking about normal work
hours will elicit a matter-of- fact response and does not prompt the patient to
elaborate on the daytime fatigue or ask about the contributing reasons.
2. A nurse is conducting a nursing health history. Which component will the
nurse address?
a. Nurse’s concerns
b. Patient expectations
c. Current treatment orders
d. Nurse’s goals for the patient
ANS: B
Some components of a nursing health history include chief concern, patient
1
expectations, spiritual health, and review of systems. Current treatment
orders are located under the Orders section in the patient’s chart and are not
, a part of the nursing health history. Patient concerns, not nurse’s concerns,
are included in the database.
Goals that are mutually established, not nurse’s goals, are part of the nursing
care plan.
3. While the patient’s lower extremity, which is in a cast, is assessed, the
patient tells the nurse about an inability to rest at night. The nurse
disregards this information, thinking that no correlation has been noted
between having
a leg cast and developing restless sleep. Which action would have been best
for the nurse to take?
a. Tell the patient to just focus on the leg and cast right now.
b. Document the sleep patterns and information in the patient’s chart.
c. Explain that a more thorough
assessment will be needed next shift.
Ask the patient about usual sleep
patterns and the onset of having
d. difficulty resting.
ANS: D
The nurse must use critical thinking skills in this situation to assess first in
this situation. The best response is to gather more assessment data by asking
the patient about usual sleep patterns and the onset of having difficulty
resting. The nurse should assess before documenting and should not ignore
the patient’s report of a problem or postpone it till the next shift.
4. The nurse begins a shift assessment by examining a surgical dressing that is
saturated with serosanguineous drainage on a patient who had open abdominal
surgery yesterday (or 1 day ago). Which type of assessment approach is the
nurse using?
a. Gordon’s Functional Health Patterns
b. Activity-exercise pattern assessment
c. General to specific assessment
d. Problem-oriented assessment
ANS: D
2
The nurse is not doing a complete, general assessment and then focusing on
