ATI LPN Critical Thinking Exam

Extract:

Patient demonstrates signs of flushed, dry, hot skin, dry mucous membranes and temperature elevation

Question 1 of 5

During a physical examination, the nurse discovers that the patient demonstrates signs of flushed, dry, hot skin, dry mucous membranes and temperature elevation. The nurse realizes grouping this data represents:

A. signs of fluid overloadB. symptomsC. data clusteringD. urinary retention

Correct Answer: C

Rationale: Grouping signs like flushed skin and fever (
C) is data clustering, suggesting dehydration or infection. Fluid overload (
A) shows edema, symptoms (
B) are subjective, and urinary retention (
D) involves bladder issues.

Extract:

Question 2 of 5

Show that documentation of patient care by the nurse is very important by selecting from the following: (select all that apply)

A. Incident reports must be recorded in the nurse's notesB. Institutions are only reimbursed for patient care that is documentedC. Document only when not successfulD. The patient record is a complete picture of individualized problems, treatments and responses to treatments

Correct Answer: B,D

Rationale: B: Insurance companies and government programs (e.g., Medicare, Medicaid) only reimburse for care that is documented, as it proves care was provided. D: The patient record provides a comprehensive view of the patient's problems, treatments, and responses, ensuring continuity of care. A is incorrect because incident reports are separate from the medical record to maintain patient safety internally. C is incorrect because documentation should include both successful and unsuccessful interventions for completeness.

Question 3 of 5

Which part of the medical record can be used as evidence in court?

A. the care planB. the medical ordersC. the entire recordD. nursing notes

Correct Answer: C

Rationale: The entire record (
C) can be used in court, providing a comprehensive view of care. A, B, and D are parts but not the whole.

Question 4 of 5

Select the proper order of the phases of the Nursing Process:

A. Evaluation, planning, assessment, implementationB. Assessment, planning, implementation, evaluationC. Implementation, assessment, planning, evaluationD. Planning, evaluation, assessment, implementation

Correct Answer: B

Rationale: The nursing process follows a logical sequence: Assessment (data collection), Planning (developing goals and interventions), Implementation (executing the plan), and Evaluation (assessing effectiveness). Only option B lists this correct order.

Question 5 of 5

Who should document care in the patient record?

A. The LPN should document the care that he/she provided and the care that was given by unlicensed assistive staff.B. The registered nurse must document all care provided by the nursing assistants because the RN is responsible for all patient care.C. All staff members should document all of the care that they have provided.D. All staff should document all care they provided but the RN (as the only independent practitioner) must sign their notes.

Correct Answer: C

Rationale: All staff (
C) must document their own care for accuracy and accountability. A, B, and D incorrectly assign documentation responsibilities.

ATI LPN Critical Thinking Exam | Nurselytic

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