ATI LPN
Foundations and Adult Health Nursing Test Bank
Chapter 5 : Nursing Process and Critical Thinking Questions
Question 1 of 5
What subjective data does the nurse record following a head-to-toe examination?
Correct Answer: B
Rationale: Another term for subjective data is symptoms, which cannot be observed or measured. This data must come from the patient.
Question 2 of 5
What objective data should the nurse include after a patient assessment?
Correct Answer: C
Rationale: Objective data are observable and measurable by people other than the patient.
Question 3 of 5
When the nurse is prioritizing care during the planning phase of the nursing process what is the guiding framework?
Correct Answer: B
Rationale: Secondary sources include family members.
Question 4 of 5
What are the two primary methods used to collect data?
Correct Answer: C
Rationale: The two primary methods of collecting data are interviewing and physical examination.
Question 5 of 5
The nurse writes two patient problems: (1) inadequate nutritional intake related to vomiting as manifested by a 3-lb weight loss and (2) risk for impaired skin integrity related to inadequate nutrition. What is the major difference between these diagnoses?
Correct Answer: D
Rationale: The actual patient problem represents a condition that is currently present. 'Risk for' diagnoses are those that the patient is susceptible to, but not yet troubled by.