The purpose of assessment is to:

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ATI LPN Fundamentals Proctored Exam 2024 Questions

Question 1 of 5

The purpose of assessment is to:

Correct Answer: A

Rationale: Assessment's purpose is to establish a client database, collecting subjective (e.g., pain reports) and objective (e.g., blood pressure) data to understand health status comprehensively. This informs all nursing process steps diagnosis, planning, implementation, evaluation ensuring care is evidence-based. Delegating responsibility is a management task, not assessment's goal, which focuses on data, not task assignment. Teaching clients about health occurs later, using assessment findings, not defining its purpose. Implementing care follows planning, not assessment, which precedes action. By building a detailed picture e.g., a patient's asthma triggers assessment equips nurses to address needs accurately, making it the essential first step and primary purpose in delivering tailored, effective care.

Question 2 of 5

A client had oral surgery following a motor vehicle accident. The nurse assessing the client finds the skin flushed and warm. Which of the following would be the best method to take the client's body temperature?

Correct Answer: B

Rationale: Axillary avoids the oral route post-surgery and is appropriate for a flushed, warm client.

Question 3 of 5

The nurse administers cleansing enema. The common position for this procedure is...

Correct Answer: A

Rationale: Sims left lateral allows easy access to the rectum and comfort during an enema.

Question 4 of 5

The physician orders a maintenance dose of 5,000 units of subcutaneous heparin (an anticoagulant) daily. Nursing responsibilities for Mrs. Mitchell now include:

Correct Answer: D

Rationale: All are critical to monitor bleeding risks and heparin efficacy.

Question 5 of 5

Which of the following patients is at greatest risk for developing pressure ulcers?

Correct Answer: B

Rationale: Age, immobility, incontinence, and malnutrition heighten pressure ulcer risk.

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