In the nursing process, the purpose of assessment is to:

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Fundamentals of Nursing LPN Questions

Question 1 of 5

In the nursing process, the purpose of assessment is to:

Correct Answer: C

Rationale: The assessment phase of the nursing process is designed to establish a comprehensive database about the patient, gathering subjective and objective data like symptoms, vital signs, and health history to inform subsequent steps. This foundational role ensures nurses understand the patient's condition fully before diagnosing or planning care. Implementing doctors' orders occurs in the implementation phase, not assessment, which precedes action. Complying with nursing requirements is a procedural concern, not the purpose of assessment, which focuses on patient needs, not regulatory checklists. Ensuring nursing instructions are followed relates to evaluation or implementation, not data collection. By creating a detailed patient profile, assessment enables nurses to identify problems, set goals, and tailor interventions, making it the critical starting point for effective, individualized care in the nursing process.

Question 2 of 5

While administering a cleansing enema, a client reports abdominal cramping. The appropriate intervention is to:

Correct Answer: D

Rationale: Lowering the enema fluid container slows the flow, reducing pressure and easing abdominal cramping during a cleansing enema a common reaction to rapid fluid entry. This adjusts infusion rate, allowing tolerance without stopping, preserving the procedure's goal (e.g., bowel prep). Holding breath briefly distracts but doesn't address flow, risking persistence. Discontinuing stops the process, premature unless severe (e.g., unrelieved pain), losing efficacy. Reminding about cramping educates but doesn't relieve it action is needed. Lowering the container, per nursing standards, balances comfort and completion, making it the appropriate, patient-centered intervention here.

Question 3 of 5

It is a transparent membrane that focuses the light that enters the eyes to the retina.

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 4 of 5

The first technique used examining the abdomen of a client is:

Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 5 of 5

Which of the following signs and symptoms would the nurse expect to find when assessing an Asian patient for postoperative pain following abdominal surgery?

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

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