ATI LPN
ATI LPN Critical Thinking Exam Questions
Extract:
Patient walks with a limp; Patient reports pain level as 3 on a scale of 1 to 10; Coughed up 5 mL yellow sputum; Headache in frontal area
Question 1 of 5
The nurse is documenting patient data. Which of the following should the nurse document under objective data? (select all that apply)
Correct Answer: C,D,E
Rationale: C: Heart rate is measured, making it objective. D: Respiratory rate is observed and quantified, thus objective. E: Sputum volume and color are observable, hence objective. A is secondhand, B and F are subjective patient reports.
Extract:
Patient with edema has a problem of fluid overload
Question 2 of 5
A patient with edema has a problem of fluid overload. The nurse is developing a care plan and selecting interventions that will assist the patient in reducing the fluid. An important consideration when developing the care plan is to:
Correct Answer: D
Rationale: Involving the patient in the care plan (
D) ensures better adherence and personalization, which is critical for effective fluid reduction. A is incorrect because NANDA-I provides standardized diagnoses for accuracy. B is incorrect as interventions should be sufficient, not arbitrarily limited. C is incorrect because interventions should be effective, not merely easy.
Extract:
Question 3 of 5
The primary source of assessment information is:
Correct Answer: D
Rationale: The patient (
D) is the primary source for assessment data, providing real-time information on symptoms and concerns. Friends (
A) and records (B,
C) are secondary sources and may not reflect current status.
Question 4 of 5
Patient health care records are:
Correct Answer: B
Rationale: Records (
B) are legal, concise documentation of care and responses, used by multiple parties. A, C, and D are incorrect regarding usage, ownership, and legal status.
Extract:
Patient with dyspnea
Question 5 of 5
The nurse is trying to decide what interventions will assist the patient with dyspnea to meet needs demonstrated by the patient. This phase of the nursing process is:
Correct Answer: C
Rationale: Planning (
C) involves selecting interventions for patient needs, like dyspnea. A, B, and D represent other phases.