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 have passed your NCLEX-PN examination and have just been employed as an LPN on a medical surgical unit. The registered nurse (RN) in charge asks you to do the admission assessment on a new patient who has just arrived by ambulance from a long-term care facility. The patient had undergone a total hip replacement within the previous 2 weeks and has developed a fever. You tell the nurse you thought an LPN could not do the admission assessment or, at most, could do only certain portions of it. The nurse, who is very busy, says, 'Please just do it. I'll cosign it, so it will be fine.' Which of the following actions should you take next?
Correct Answer: B,C
Rationale: Checking the facility's policy manual (
C) ensures you act within your scope of practice. Refusing to do the admission assessment but offering to perform tasks within your role (
B) is appropriate, as LPNs typically cannot perform initial admission assessments, which are reserved for RNs.
Question 2 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 3 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 4 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 5 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.