ATI Fundamentals - Ch. 7 ... : ATI Fundamentals Proctored Exam Review

Nursing Process- ATI Fundamentals Ch. 7
 Assessment/ Data Collection
 Pt. interview
 Medical history
 Physical assessment
 Lab reports
 S/S, feelings
 Objective data  VS
 Analysis
 ID pt. health status
 Recognize trends and patterns
 Planning
 Nurse initiated/Independent Interventions

 Provider-Initiated/Dependent interventions
 Collaborative interventions
 Establish priorities
 Implementation
 Base care according to data and plan of care
 Use problem-solving and critical thinking
 Minimize risks
 Implement nursing action based on delegation
 Evaluation
 Evaluate client responses to interventions for form clinical judgement
 See if goals are met
 Determine effectiveness of nursing care plan
Practice Question: A nurse is discussing the nursing process with a newly hired nurse. Which of the
following statements by the newly hired nurse should the nurse identify as appropriate for the
planning step of the nursing process?
 A. “I will determine the most important client problems that we should address.”
 B. “I will review the past medical history on the client’s record to get more information.”
 C. “I will go carry out the new prescriptions from the provider.”
 D. “I will ask the client if his nausea has resolved.”
Practice Question: 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