ATI LPN
Fundamentals of Nursing: The Art and Science of Person-Centered Care Tenth, North American Edition
Chapter 15 : Assessing Questions
Question 1 of 5
A nurse in the emergency department is completing an emergency assessment for a teenager just admitted from a car crash. Which of the following is objective data?
Correct Answer: D
Rationale: Objective data are measurable findings, such as the inability to palpate a pulse.
Question 2 of 5
Who or what is the primary source of information for a nursing history?
Correct Answer: C
Rationale: The patient is the primary source for a nursing history, providing firsthand information about their health.
Question 3 of 5
A nurse is collecting information from Mr. Koeppe, a patient with dementia. The patients daughter, Sarah, accompanies the patient. Which of the following statements by the nurse would recognize the patients value as an individual?
Correct Answer: C
Rationale: Addressing the patient directly respects their individuality and encourages their participation.
Question 4 of 5
What type of patient record data would the nurse find in the medical history and progress notes?
Correct Answer: A
Rationale: Medical history and progress notes contain physician assessments and treatment plans.
Question 5 of 5
A nurse is collecting data from a home care patient. In addition to information about the patients health status, what is another observation the nurse should make?
Correct Answer: B
Rationale: Assessing environmental safety is critical in home care to prevent risks like falls.