ATI LPN
Study Guide for Fundamentals of Nursing Care: Concepts, Connections & Skills
Chapter 4 : The Nursing Process: Critical Thinking and Decision Making Questions
Question 1 of 5
You are performing the daily assessment of your patient's status. You notice some purplish marks on her arm where the bandage for her IV had been and the skin is torn. Which of the following techniques did you use to obtain these data?
Correct Answer: A
Rationale: Inspection involves visually observing the patient's skin, which allowed you to notice the purplish marks and torn skin.
Question 2 of 5
To assess bowel sounds, which assessment technique will you use?
Correct Answer: C
Rationale: Auscultation is used to listen to bowel sounds with a stethoscope, assessing gastrointestinal function.
Question 3 of 5
Your patient has severe peripheral vascular disease (poor circulation) in both lower extremities. You document that the patient's pedal pulses are absent. Which assessment technique did you use to obtain these data?
Correct Answer: B
Rationale: Palpation is used to feel for pedal pulses, determining their presence or absence.
Question 4 of 5
You are assisting the nurse practitioner (NP) with her assessment of an elderly, confused woman. You watch as the NP places her hand on the woman's back and then taps her own middle finger with her other hand. This assessment technique is called
Correct Answer: D
Rationale: Percussion involves tapping to assess underlying structures, as described in the NP's technique.
Question 5 of 5
The NANDA-I list of nursing diagnoses is the only source of nursing diagnoses available.
Correct Answer: B
Rationale: False. While NANDA-I is a widely used source, other standardized nursing diagnosis lists exist, and nurses may develop diagnoses based on patient needs.