Chapter 15: Assessing - Nurselytic

Questions 26

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ATI LPN TextBook-Based Test Bank

Fundamentals of Nursing: The Art and Science of Person-Centered Care Tenth, North American Edition

Chapter 15 : Assessing Questions

Question 1 of 5

Which of the following examples of patient data needs to be validated? Select all that apply.

Correct Answer: A,B,F

Rationale: Data requiring validation includes inconsistencies (
A), potential abuse indicators (
B), and contradictory statements (F).

Question 2 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 3 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 4 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 5 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).

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