ATI PN FUNDAMENTAL
PROCTORED EXAM 2021.
[Document subtitle]
[DATE]
[COMPANY NAME]
[Company address]
93
, ATI PN
FUNDAMENTAL PROCTORED EXAM 2021
(Detail Solutions)
1. The nurse performs an intervention for a collaborative problem. Which type of
intervention did the nurse perform?
a. Dependent
b. Independent
c. Interdependent
d. Physician-initiated
ANS: C
Collaborative interventions, or interdependent interventions, are therapies that
require the combined knowledge, skill, and expertise of multiple health care
professionals. Health care provider-initiated (HCP) interventions are dependent
nursing interventions, or actions that require an order from the HCP. Nurse-
initiated interventions are the independent nursing interventions, or actions that
a nurse initiates without supervision or direction from others.
2. A registered nurse administers pain medication to a patient suffering from
fractured ribs. Which type of nursing intervention is this nurse implementing?
a. Collaborative
b. Independent
c. Interdependent
d. Dependent
93
,ANS: D
The nurse does not have prescriptive authority to order pain medications, unless
the nurse is an advanced practice nurse. The intervention is therefore dependent.
Administering a medication, implementing an invasive procedure (e.g., inserting a
Foley catheter, starting an intravenous [IV] infusion), and preparing a patient for
diagnostic tests are examples of health care provider-initiated interventions. A
collaborative, or an interdependent, intervention involves therapies that require
combined knowledge, skill, and expertise from multiple health care professionals.
Nurse-initiated interventions are the independent nursing interventions, or
actions that a nurse initiates without supervision or direction from others.
3. Which action indicates the nurse is using a PICOT question to improve care for a
patient?
a. Practices nursing based on the evidence presented in court
b. Implements interventions based on scientific research
c. Uses standardized care plans for all patients.
d. Plans care based on tradition
ANS: B
The best answer is implementing interventions based on scientific research. Using
results of a literature search to a PICOT question can help a nurse decide which
interventions to use. Practicing based on evidence presented in court is incorrect.
Practice is based on current research. Using standardized care plans may be one
example of evidence-based practice, but it is not used on all patients. The nurse
must be careful in using standardized care plans to ensure that each patient’s plan
of care is still individualized. Planning care based on tradition is incorrect because
nursing care should be based on current research.
4. A nurse is developing a care plan. Which intervention is most appropriate
93
, for the nursing diagnostic
statement Risk for loneliness related to impaired verbal communication?
a. Provide the patient with a writing board each shift.
b. Obtain an interpreter for the patient as soon as possible.
c. Assist the patient in performing swallowing exercises each shift.
Ask the family to provide a sitter to remain with the patient at all
d. times.
ANS: A
Choose interventions to alter the etiological (related to) factor or causes of the
diagnosis. If the etiology is impaired verbal communication, then the nurse should
choose an intervention that will address the problem. Providing the patient with a
writing board will allow the patient to communicate by writing because the
patient is unable to communicate verbally at this time. Obtaining an interpreter
might be an appropriate intervention if the patient spoke a foreign language.
Assisting with swallowing exercises will help the patient with swallowing, which is
a different etiology than impaired verbal communication. Asking the family to
provide a sitter at all times is many times unrealistic and does not relate to the
impaired verbal communication; the goal would relate to the loneliness.
5. A nurse is completing a care plan. Which intervention is most appropriate
for the nursing diagnostic statement Impaired skin integrity related to
shearing forces?
a. Administer pain medication every 4 hours as needed.
b. Turn the patient every 2 hours, even hours.
c. Monitor vital signs, especially rhythm.
d. Keep the bed side rails up at all times.
93
PROCTORED EXAM 2021.
[Document subtitle]
[DATE]
[COMPANY NAME]
[Company address]
93
, ATI PN
FUNDAMENTAL PROCTORED EXAM 2021
(Detail Solutions)
1. The nurse performs an intervention for a collaborative problem. Which type of
intervention did the nurse perform?
a. Dependent
b. Independent
c. Interdependent
d. Physician-initiated
ANS: C
Collaborative interventions, or interdependent interventions, are therapies that
require the combined knowledge, skill, and expertise of multiple health care
professionals. Health care provider-initiated (HCP) interventions are dependent
nursing interventions, or actions that require an order from the HCP. Nurse-
initiated interventions are the independent nursing interventions, or actions that
a nurse initiates without supervision or direction from others.
2. A registered nurse administers pain medication to a patient suffering from
fractured ribs. Which type of nursing intervention is this nurse implementing?
a. Collaborative
b. Independent
c. Interdependent
d. Dependent
93
,ANS: D
The nurse does not have prescriptive authority to order pain medications, unless
the nurse is an advanced practice nurse. The intervention is therefore dependent.
Administering a medication, implementing an invasive procedure (e.g., inserting a
Foley catheter, starting an intravenous [IV] infusion), and preparing a patient for
diagnostic tests are examples of health care provider-initiated interventions. A
collaborative, or an interdependent, intervention involves therapies that require
combined knowledge, skill, and expertise from multiple health care professionals.
Nurse-initiated interventions are the independent nursing interventions, or
actions that a nurse initiates without supervision or direction from others.
3. Which action indicates the nurse is using a PICOT question to improve care for a
patient?
a. Practices nursing based on the evidence presented in court
b. Implements interventions based on scientific research
c. Uses standardized care plans for all patients.
d. Plans care based on tradition
ANS: B
The best answer is implementing interventions based on scientific research. Using
results of a literature search to a PICOT question can help a nurse decide which
interventions to use. Practicing based on evidence presented in court is incorrect.
Practice is based on current research. Using standardized care plans may be one
example of evidence-based practice, but it is not used on all patients. The nurse
must be careful in using standardized care plans to ensure that each patient’s plan
of care is still individualized. Planning care based on tradition is incorrect because
nursing care should be based on current research.
4. A nurse is developing a care plan. Which intervention is most appropriate
93
, for the nursing diagnostic
statement Risk for loneliness related to impaired verbal communication?
a. Provide the patient with a writing board each shift.
b. Obtain an interpreter for the patient as soon as possible.
c. Assist the patient in performing swallowing exercises each shift.
Ask the family to provide a sitter to remain with the patient at all
d. times.
ANS: A
Choose interventions to alter the etiological (related to) factor or causes of the
diagnosis. If the etiology is impaired verbal communication, then the nurse should
choose an intervention that will address the problem. Providing the patient with a
writing board will allow the patient to communicate by writing because the
patient is unable to communicate verbally at this time. Obtaining an interpreter
might be an appropriate intervention if the patient spoke a foreign language.
Assisting with swallowing exercises will help the patient with swallowing, which is
a different etiology than impaired verbal communication. Asking the family to
provide a sitter at all times is many times unrealistic and does not relate to the
impaired verbal communication; the goal would relate to the loneliness.
5. A nurse is completing a care plan. Which intervention is most appropriate
for the nursing diagnostic statement Impaired skin integrity related to
shearing forces?
a. Administer pain medication every 4 hours as needed.
b. Turn the patient every 2 hours, even hours.
c. Monitor vital signs, especially rhythm.
d. Keep the bed side rails up at all times.
93
