ATI LPN
Study Guide for Fundamentals of Nursing Care: Concepts, Connections & Skills
Chapter 5 : DOCUMENTATION Questions
Question 1 of 5
Choose the correct answer(s). In some questions, more than one answer is correct. Select all that apply. What time would the military time 2210 be?
Correct Answer: B
Rationale: 2210 in military time is 10:22 p.m. (
B), as it is 10 minutes past 10 p.m. 10:22 a.m. (
A) is 1022, 2:21 a.m. (
C) is 0221, and 10:10 p.m. (
D) is 2210.
Question 2 of 5
Choose the correct answer(s). In some questions, more than one answer is correct. Select all that apply. Which of the following would be subjective data?
Correct Answer: A,B
Rationale: Subjective data is reported by the patient, such as pain (
A) or fatigue itching (
B). Grimacing (
C), flushing (
D), blood pressure (E), WBC count (F), and sleeping (G), and snoring (H) are objective, as they can be observed or measured.
Question 3 of 5
Choose the correct answer(s). In some questions, more than one answer is correct. Select all that apply. Which of these following are sections of a source-oriented chart?
Correct Answer: A,B,C,D,E,F
Rationale: Source-oriented charts include database (
A), graphic sheet (
B), laboratory (
C), medication administration record (
D), nurse's notes (E), and physician's notes (F), as they are standard sections for organizing patient data.
Question 4 of 5
Choose the correct answer(s). In some questions, more than one answer is correct. Select all that apply. Which of these following types of data should be included in weekly summaries in a long-term care facility?
Correct Answer: A,B,D,E,F,G
Rationale: Weekly summaries should include prosthesis use (
A), activity level (
B), continence (
D), speech ability (E), visitors (F), social activities (G), self-care ability (I), and diet (J). Length of stay (
C), staff conflicts (H), and payment status (K) are not typically included.
Question 5 of 5
Choose the correct answer(s). In some questions, more than one answer is correct. Select all that apply. Which of the following charting 'omissions' (meaning they were not charted) would carry potential legal risks just by the nature of the omission?
Correct Answer: B,C,D,F
Rationale: Omitting a rash/swelling (
B), hemophilia history (
C), medication order (
D), or NPO order (F) poses legal risks due to potential harm. Meal time (
A) and oral intake instruction (E) are less critical.