ATI LPN Critical Thinking Exam

Question 1 of 5

Show that documentation of patient care by the nurse is very important by selecting from the following: (select all that apply)

A. Incident reports must be recorded in the nurse's notesB. Institutions are only reimbursed for patient care that is documentedC. Document only when not successfulD. The patient record is a complete picture of individualized problems, treatments and responses to treatments

Correct Answer: B,D

Rationale: B: Insurance companies and government programs (e.g., Medicare, Medicaid) only reimburse for care that is documented, as it proves care was provided. D: The patient record provides a comprehensive view of the patient's problems, treatments, and responses, ensuring continuity of care. A is incorrect because incident reports are separate from the medical record to maintain patient safety internally. C is incorrect because documentation should include both successful and unsuccessful interventions for completeness.

Question 2 of 5

Select the proper order of the phases of the Nursing Process:

A. Evaluation, planning, assessment, implementationB. Assessment, planning, implementation, evaluationC. Implementation, assessment, planning, evaluationD. Planning, evaluation, assessment, implementation

Correct Answer: B

Rationale: The nursing process follows a logical sequence: Assessment (data collection), Planning (developing goals and interventions), Implementation (executing the plan), and Evaluation (assessing effectiveness). Only option B lists this correct order.

Extract:

Patient with edema has a problem of fluid overload

Question 3 of 5

The nurse is reviewing the patient's plan of care and ordered treatments. Which of the following is (are) independent nursing interventions? (select all that apply)

A. Teaching deep breathing and relaxation techniques as neededB. Inserting a nasogastric tube (NG) to relieve gastric distentionC. Placing the nurse call button within reach at all timesD. Giving hand massages dailyE. Repositioning the patient every 2 hours to reduce pressure injury riskF. Giving acetaminophen (Tylenol) 650 mg orally every 4 hours as needed

Correct Answer: A,C,D,E

Rationale: A: Teaching non-pharmacological techniques is within a nurse's scope without a physician's order. C: Ensuring the call button is accessible promotes safety independently. D: Hand massages are a comfort measure nurses can provide independently. E: Repositioning prevents pressure injuries and is an independent action. B requires a physician's order, and F involves medication administration, which is dependent.

Question 4 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:

A. use a Nursing Diagnosis from a source other than NANDA-IB. limit the number of interventionsC. select interventions which will be easy to implementD. involve the patient in the process

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 5 of 5

Identify the person responsible for analyzing and interpreting data to arrive at a nursing diagnosis:

A. CNAB. TechnicianC. RND. LPN/LVN

Correct Answer: C

Rationale: The RN (
C) is responsible for analyzing data and formulating nursing diagnoses, as it requires critical thinking within their scope of practice. CNAs (
A) and Technicians (
B) assist with care but do not diagnose. LPNs/LVNs (
D) collect data but do not formulate diagnoses.

ATI LPN Critical Thinking Exam | Nurselytic

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