ATI LPN Critical Thinking Exam

Extract:

Question 1 of 5

Clarify the primary purpose of nursing orders:

A. to clarify nursing principlesB. to resolve the patient's problemsC. to support physician's ordersD. to provide broad, general statements

Correct Answer: B

Rationale: Nursing orders (
B) aim to address patient problems directly through targeted interventions. A, C, and D do not capture this primary focus.

Extract:

Patient with dyspnea

Question 2 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:

A. implementationB. evaluationC. planningD. assessment

Correct Answer: C

Rationale: Planning (
C) involves selecting interventions for patient needs, like dyspnea. A, B, and D represent other phases.

Extract:

Question 3 of 5

Compare an actual nursing diagnosis with a risk for nursing diagnosis, recognizing that in the case of the actual nursing diagnosis

A. the patient is vulnerable to develop the problemB. there is no evidence of defining characteristicsC. a condition is currently presentD. it is written as a two-part statement

Correct Answer: C

Rationale: An actual nursing diagnosis (
C) indicates a current condition with observable signs. A risk diagnosis (
A) suggests potential for a problem. B is incorrect as actual diagnoses require evidence. D is incorrect as actual diagnoses use a three-part statement.

Extract:

Patient reporting moderate to severe pain

Question 4 of 5

A nurse is receiving a provider's prescription by telephone for morphine for a patient who is reporting moderate to severe pain. Which of the following nursing actions should the nurse take? (select all that apply)

A. Repeat the details of the prescription back to the providerB. Record the reason for the call made to the provider and the results of the call in the Nurses NotesC. Tell the charge nurse that the provider has prescribed morphine by telephoneD. Refuse to accept the verbal prescription because this is not an emergency

Correct Answer: A,B

Rationale: A: Repeating the prescription ensures accuracy via read-back verification. B: Documenting the call's reason and outcome is essential for legal records. C is good practice but not required, and D is incorrect as verbal orders can be accepted with proper protocol.

Extract:

Patient's vital signs are B/P 120/80, P 88, and R 18; Non-responsive patient; Disoriented patient; Critically ill patient

Question 5 of 5

A focused assessment should be done by the nurse in all of the following situations EXCEPT:

A. patient's vital signs are B/P 120/80, P 88 and R 18B. non-responsive patientC. disoriented patientD. critically patient ill

Correct Answer: A

Rationale: Stable vital signs (
A) do not require a focused assessment unless indicated. B, C, and D signal urgent conditions needing targeted evaluation.

ATI LPN Critical Thinking Exam | Nurselytic

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