NURS 310 ATI EXAM 1 QUESTIONS AND VERIFIED
ANSWERS
What is the nursing process? - Answers - A dynamic, continuous, client-centered,
problem-solving, and decision-making framework that is foundational to nursing
practice.
What does the nursing process promote? - Answers - The professionalism of nursing
while differentiating the practice of nursing from the practice of medicine and that of
other health care professionals
True or False
The accuracy and thoroughness of assessment and planning have a direct affect on
implementation and evaluation. - Answers - True
What does assessment/data collection involve? - Answers - the systematic collection of
information about clients' present health statuses to identify needs and additional data
to collect based on findings.
In which assessments can a nurse collect data? Select all that apply.
1. Initial assessment
2. Focused assessment
3. Ongoing assessment - Answers - All 3
What are the methods of data collection? - Answers - -Observation
-Interview (of both client and family)
-medical history
-comprehensive or focused physical examination
-diagnostic and laboratory reports
-collaboration with other members of the healthcare team
How can nurses collect data effectively? - Answers - By asking appropriate questions,
listening carefully, excellent head to toe physical assessment, clinical judgement, critical
thinking, and recognizing the need to collect assessment data.
What are examples of subjective data? - Answers - Clients' feelings, perceptions, and
descriptions of health status
When does the nurse validate, interpret, and cluster data? - Answers - During
assessment
,True or False
Documentation should focus on facts and should be very general. - Answers - False.
Documentation should focus on facts and should be highly descriptive.
Maslow's Hierarchy of Needs - Answers - physiological, safety and security, love and
belonging, self-esteem, self-actualization
What are the 3 types planning? - Answers - 1. Plan of care
2. Ongoing planning
3. Discharge planning
What is discharge planning? - Answers - A process of anticipating and planning for
clients' needs after discharge.
When does discharge planning begin? - Answers - During admission
When does the nurse select nursing interventions for the client? - Answers - Planning
What do goals identify? - Answers - Optimal status
What do outcomes identify? - Answers - Observable criterion that will determine
success or failure of the goal.
Independent interventions - Answers - The nurse uses evidence and scientific rationale
to take autonomous actions to benefit clients.
Dependent interventions - Answers - Interventions nurses initiate as a result of a
provider prescription or the facilities protocl.
Collaborative interventions - Answers - Interventions nurses carry out in collaboration
with other health care team professionals, such as ensuring that a client receives and
eats his evening snack.
What is the end product of the planning step? - Answers - The nursing care plan (NCP)
Implementation - Answers - The nurse bases the care they provide on assessment
data, analyses, and the plan of care they developed in the previous steps of the nursing
process.
Evaluation - Answers - Nurses evaluate clients' responses to nursing interventions and
form a clinical judgement about the extent to which clients have met the goals and
outcomes.
By the second postoperative day, a
client has not achieved satisfactory pain
, relief. Based on this evaluation, which of
the following actions should the nurse
take, according to the nursing process?
A. Reassess the client to
determine the reasons for
inadequate pain relief.
B. Wait to see whether the pain
lessens during the next 24 hr.
C. Change the plan of care
to provide different pain
relief interventions.
D. Teach the client about the plan
of care for managing his pain. - Answers - A
A charge nurse is observing a newly licensed nurse care for a client who reports pain.
the nurse checked the client's MAR and noted the last does of pain medication was 6
hours ago. The prescription reads every 4 hr PRN for pain. The nurse administered the
medication and checked with the client 40 min. later, when the client reported
improvement. The newly licensed nurse left out which of the following steps of the
nursing process?
A. Assessment
B. Planning
C. Intervention
D. Evaluation - Answers - A
A charge nurse is reviewing the steps of the nursing process with a group of nurses.
Which of the following data should the charge nurse identify as objective data? Select
all that apply.
A. Respiratory rate is 22/min with even, unlabored respirations
B.The client's partner states, "they said they hurt after walking about 10 min"
C. The client's pain rating is a 3 on a scale of 0 to 10
D. The client's skin is pink, warm, and dry
E. The assistive personnel reports that the client walked with a limp - Answers - A,D, E
A charge nurse is talking with a newly licensed nurse and is reviewing nursing
interventions that do not require a provider's prescription. Which of the following
interventions should the charge nurse include? Select all that apply.
A. Writing a script for morphine sulfate PRN pain
B. Inserting an NG tube to relieve gastric distension
C. Showing a client how yo use progressive muscle relaxation
D. Performing a daily bath after the evening meal
E. Re-positioning a client every 2 hr to reduce pressure injury risk - Answers - C,D,E
A nurse is discussing the nursing process with a newly licensed nurse. Which of the
following statements by the newly licensed nurse should the nurse identify as
appropriate for the planning step of the nursing process?
ANSWERS
What is the nursing process? - Answers - A dynamic, continuous, client-centered,
problem-solving, and decision-making framework that is foundational to nursing
practice.
What does the nursing process promote? - Answers - The professionalism of nursing
while differentiating the practice of nursing from the practice of medicine and that of
other health care professionals
True or False
The accuracy and thoroughness of assessment and planning have a direct affect on
implementation and evaluation. - Answers - True
What does assessment/data collection involve? - Answers - the systematic collection of
information about clients' present health statuses to identify needs and additional data
to collect based on findings.
In which assessments can a nurse collect data? Select all that apply.
1. Initial assessment
2. Focused assessment
3. Ongoing assessment - Answers - All 3
What are the methods of data collection? - Answers - -Observation
-Interview (of both client and family)
-medical history
-comprehensive or focused physical examination
-diagnostic and laboratory reports
-collaboration with other members of the healthcare team
How can nurses collect data effectively? - Answers - By asking appropriate questions,
listening carefully, excellent head to toe physical assessment, clinical judgement, critical
thinking, and recognizing the need to collect assessment data.
What are examples of subjective data? - Answers - Clients' feelings, perceptions, and
descriptions of health status
When does the nurse validate, interpret, and cluster data? - Answers - During
assessment
,True or False
Documentation should focus on facts and should be very general. - Answers - False.
Documentation should focus on facts and should be highly descriptive.
Maslow's Hierarchy of Needs - Answers - physiological, safety and security, love and
belonging, self-esteem, self-actualization
What are the 3 types planning? - Answers - 1. Plan of care
2. Ongoing planning
3. Discharge planning
What is discharge planning? - Answers - A process of anticipating and planning for
clients' needs after discharge.
When does discharge planning begin? - Answers - During admission
When does the nurse select nursing interventions for the client? - Answers - Planning
What do goals identify? - Answers - Optimal status
What do outcomes identify? - Answers - Observable criterion that will determine
success or failure of the goal.
Independent interventions - Answers - The nurse uses evidence and scientific rationale
to take autonomous actions to benefit clients.
Dependent interventions - Answers - Interventions nurses initiate as a result of a
provider prescription or the facilities protocl.
Collaborative interventions - Answers - Interventions nurses carry out in collaboration
with other health care team professionals, such as ensuring that a client receives and
eats his evening snack.
What is the end product of the planning step? - Answers - The nursing care plan (NCP)
Implementation - Answers - The nurse bases the care they provide on assessment
data, analyses, and the plan of care they developed in the previous steps of the nursing
process.
Evaluation - Answers - Nurses evaluate clients' responses to nursing interventions and
form a clinical judgement about the extent to which clients have met the goals and
outcomes.
By the second postoperative day, a
client has not achieved satisfactory pain
, relief. Based on this evaluation, which of
the following actions should the nurse
take, according to the nursing process?
A. Reassess the client to
determine the reasons for
inadequate pain relief.
B. Wait to see whether the pain
lessens during the next 24 hr.
C. Change the plan of care
to provide different pain
relief interventions.
D. Teach the client about the plan
of care for managing his pain. - Answers - A
A charge nurse is observing a newly licensed nurse care for a client who reports pain.
the nurse checked the client's MAR and noted the last does of pain medication was 6
hours ago. The prescription reads every 4 hr PRN for pain. The nurse administered the
medication and checked with the client 40 min. later, when the client reported
improvement. The newly licensed nurse left out which of the following steps of the
nursing process?
A. Assessment
B. Planning
C. Intervention
D. Evaluation - Answers - A
A charge nurse is reviewing the steps of the nursing process with a group of nurses.
Which of the following data should the charge nurse identify as objective data? Select
all that apply.
A. Respiratory rate is 22/min with even, unlabored respirations
B.The client's partner states, "they said they hurt after walking about 10 min"
C. The client's pain rating is a 3 on a scale of 0 to 10
D. The client's skin is pink, warm, and dry
E. The assistive personnel reports that the client walked with a limp - Answers - A,D, E
A charge nurse is talking with a newly licensed nurse and is reviewing nursing
interventions that do not require a provider's prescription. Which of the following
interventions should the charge nurse include? Select all that apply.
A. Writing a script for morphine sulfate PRN pain
B. Inserting an NG tube to relieve gastric distension
C. Showing a client how yo use progressive muscle relaxation
D. Performing a daily bath after the evening meal
E. Re-positioning a client every 2 hr to reduce pressure injury risk - Answers - C,D,E
A nurse is discussing the nursing process with a newly licensed nurse. Which of the
following statements by the newly licensed nurse should the nurse identify as
appropriate for the planning step of the nursing process?
