Questions 48

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ATI LPN NUS 117 Fundamentals Exam Questions

Extract:

Client's blood pressure documented


Question 1 of 5

A nurse is reviewing the documentation of a client's blood pressure by a newly licensed nurse. The documentation states, 'Blood pressure 102/58 mm Hg. client sitting up in a chair.' Which of the following information should the nurse clarify?

Correct Answer: B

Rationale: The site of measurement (e.g., arm, wrist) affects accuracy and should be documented for clarity.

Extract:


Question 2 of 5

Which nursing activity reflects care given on the tertiary level of healthcare delivery?

Correct Answer: B

Rationale: Transplant surgery is a specialized intervention for advanced conditions, defining tertiary care.

Extract:

Client being admitted


Question 3 of 5

A nurse is working with an RN to admit a new client. Which of the following steps of the nursing process is the nurse using when assisting to formulate goals for a positive outcome?

Correct Answer: A

Rationale: Planning involves setting goals and interventions, aligning with formulating positive outcome goals.

Extract:


Question 4 of 5

A nurse is preparing a poster presentation for a group of staff nurses about factors influencing communication. Which of the following factors should the nurse include when discussing cognitive factors?

Correct Answer: D

Rationale: Autism spectrum disorder affects cognitive processing of communication, unlike sensory or environmental factors.

Extract:

Client's medical record accessed


Question 5 of 5

A nurse looks up information in a client's medical record but is not involved in the care of the client. The nurse is violating which of the following standards of professional performance?

Correct Answer: A

Rationale: Accessing records without involvement violates the ethical standard of patient confidentiality.

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