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
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 2 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 3 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.
Question 4 of 5
Nursing diagnoses and medical diagnoses both use the names of diseases.
Correct Answer: B
Rationale: False. Nursing diagnoses focus on patient responses to health conditions, not disease names, which are used in medical diagnoses.
Question 5 of 5
By using a problem statement, the cause of the problem, and the defining characteristics of the problem, nursing diagnoses help identify interventions to address the problem.
Correct Answer: A
Rationale: True. Nursing diagnoses include a problem statement, etiology, and defining characteristics to guide targeted interventions.