ATI LPN
ATI LPN Critical Thinking Exam Questions
Extract:
Question 1 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.
Question 2 of 5
Clarify the primary purpose of nursing orders:
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 was administered a stat insulin dose
Question 3 of 5
The nurse administered the stat insulin dose as ordered, in the presence of the nurse's aide and the dietary aide, however, the nurse failed to chart the medication on the MAR. During a legal deposition regarding charges of professional malpractice, it was determined that:
Correct Answer: D
Rationale: Legally, 'if it wasn't documented, it wasn't done' (
D). Without MAR documentation, the insulin administration cannot be verified, despite testimony (A,
C). B is incorrect as D is accurate.
Extract:
Patient with a urinary tract infection
Question 4 of 5
The patient with a urinary tract infection is being assessed using a critical pathway. When a projected outcome is not met by a predetermined date it is determined that a/an:
Correct Answer: C
Rationale: A variance (
C) occurs when outcomes deviate from the critical pathway's timeline, indicating a need for reassessment. A, B, and D are less precise terms.
Extract:
Patient appears to be in severe pain and refuses to ambulate. Blood pressure and pulse are elevated
Question 5 of 5
The nurse documents in the patient record, '0830 patient appears to be in severe pain and refuses to ambulate. Blood pressure and pulse are elevated. Physician notified and analgesic administered as ordered with adequate relief. J. Doe, RN.' The most significant statement about the documentation is that it is:
Correct Answer: D
Rationale: The documentation (
D) includes assessment (pain, vital signs), intervention (analgesic), and evaluation (relief), making it complete. A, B, and C overlook its comprehensive nature.