ATI LPN Critical Thinking Exam | Nurselytic

Questions 42

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ATI LPN Critical Thinking Exam Questions

Extract:


Question 1 of 5

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

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 with a nursing diagnosis of airway clearance, ineffective


Question 2 of 5

The patient with a nursing diagnosis of airway clearance, ineffective, might have a desired patient outcome of:

Correct Answer: D

Rationale: The desired outcome for ineffective airway clearance (
D) is measurable improvement, like no dyspnea within 24 hours. A is an intervention, B does not ensure clearance, and C indicates worsening.

Extract:


Question 3 of 5

A charge nurse is reviewing documentation with a group of newly hired nurses. Which of the following guidelines should be followed when documenting in a patient record? (select all that apply)

Correct Answer: D,E

Rationale: D: Documentation must be objective (e.g., 'grimaced when moving') to avoid bias. E: Including date and time ensures a clear timeline for legal and care continuity. A is incorrect because timely documentation prevents errors. B is incorrect as errors should be corrected with a single line and initials. C is incorrect because only approved abbreviations should be used to avoid confusion.

Question 4 of 5

In which step of the nursing process do nurses look at outcomes?

Correct Answer: A

Rationale: Evaluation (
A) is where nurses assess whether outcomes and goals were met. Assessment (
B) collects data, Implementation (
C) executes interventions, and Planning (
D) sets goals.

Question 5 of 5

During the shift, the nurse charts only additional treatments done or withheld, changes in patient condition, and new concerns. Charting these factors demonstrates which of the following type of charting?

Correct Answer: B

Rationale: Charting by exception (
B) documents only significant changes or deviations, not routine care. Block (
A) covers entire shifts, focused (
C) targets specific issues, and SOAP (
D) follows a structured format.

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