ATI LPN
Foundations and Adult Health Nursing Test Bank
Chapter 13 : Physical Assessment Questions
Question 1 of 5
The nurse is developing a nursing care plan for a newly admitted patient. What is the first step the nurse will take in developing this care plan?
Correct Answer: D
Rationale: The nursing assessment is the critical step in forming the nursing care plan.
Question 2 of 5
The patient should be assessed as soon as possible after admission. Who performs this initial assessment?
Correct Answer: D
Rationale: The initial assessment is done by the registered nurse.
Question 3 of 5
A patient was admitted with a complaint of abdominal pain. Later the nurse observed the patient demonstrating dyspnea. What type of assessment does this change in condition require?
Correct Answer: B
Rationale: When the nurse observes a change in the patient's condition, the assessment is focused.
Question 4 of 5
When performing a nursing physical assessment the nurse uses a head-to-toe approach. Where will the nurse begin when using this method?
Correct Answer: B
Rationale: When performing a head-to-toe assessment, the nurse begins with a neurologic assessment.
Question 5 of 5
An older adult patient is being assessed for skin turgor. The nurse identifies decreased skin turgor demonstrated by slow return of the skin to the previous position after being grasped and raised. What can the nurse conclude is responsible for this assessment?
Correct Answer: A
Rationale: Dehydration results in decreased skin turgor.