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 student takes an adult patients pulse and counts 20 beats/min. Knowing this is not the normal range for an adult pulse, what should the student do next?
Correct Answer: B
Rationale: An abnormal finding like a pulse of 20 beats/min requires immediate verification by a qualified professional.
Question 2 of 5
Which of the following entries would be an example of appropriate documentation?
Correct Answer: B
Rationale: Appropriate documentation uses the patient's own words to describe their condition accurately.
Question 3 of 5
Which of the following group of terms best defines assessing in the nursing process?
Correct Answer: C
Rationale: Assessing in the nursing process involves gathering, verifying, and sharing patient information to inform care decisions.
Question 4 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 5 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.