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 performing triage in an emergency room makes assessments of patients using critical thinking skills. Which of the following are critical thinking activities linked to assessment? Select all that apply.
Correct Answer: C,D,E
Rationale: Critical thinking in assessment includes diagnosing conditions (
C), conducting private interviews to gather sensitive data (
D), and validating information with reliable sources (E).
Question 2 of 5
On admission, a physician diagnoses a patient with rheumatoid arthritis. The nurse uses assessments to make the nursing diagnosis of Chronic Pain. What is the nurse diagnosing?
Correct Answer: B
Rationale: Nursing diagnoses focus on the patient's response to health conditions, such as chronic pain, rather than the medical pathology.
Question 3 of 5
The nurse completes a health history and physical assessment on a patient who has been admitted to the hospital for surgery. What is the purpose of this initial assessment?
Correct Answer: D
Rationale: An initial assessment creates a comprehensive database to identify patient problems and strengths for planning care.
Question 4 of 5
Mrs. James comes to her healthcare providers office because she is having abdominal pain. She has been seen for this problem before. What type of assessment would the nurse do?
Correct Answer: B
Rationale: A focused assessment targets a specific problem, such as abdominal pain, especially when the patient has a history of the issue.
Question 5 of 5
A nurse is assisting with lunch at a nursing home. Suddenly, one of the residents begins to choke and is unable to breathe. The nurse assesses the residents ability to breathe and then begins CPR. Why did the nurse assess respiratory status?
Correct Answer: A
Rationale: Assessing respiratory status in this scenario identifies a life-threatening issue requiring immediate intervention.