ATI LPN Critical Thinking Exam

Extract:

Question 1 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 2 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 3 of 5

Identify the person responsible for analyzing and interpreting data to arrive at a nursing diagnosis:

A. CNAB. TechnicianC. RND. LPN/LVN

Correct Answer: C

Rationale: The RN (
C) is responsible for analyzing data and formulating nursing diagnoses, as it requires critical thinking within their scope of practice. CNAs (
A) and Technicians (
B) assist with care but do not diagnose. LPNs/LVNs (
D) collect data but do not formulate diagnoses.

Question 4 of 5

Identify the two primary methods used to collect data:

A. interview and physical examinationB. review of the doctor's orders and the KardexC. written report by patient and familyD. review of the chart and the nurse's notes

Correct Answer: A

Rationale: Interview and physical examination (
A) collect subjective and objective data directly. B, C, and D are secondary or supportive methods.

Extract:

Patient with edema has a problem of fluid overload

Question 5 of 5

The nurse is reviewing the patient's plan of care and ordered treatments. Which of the following is (are) independent nursing interventions? (select all that apply)

A. Teaching deep breathing and relaxation techniques as neededB. Inserting a nasogastric tube (NG) to relieve gastric distentionC. Placing the nurse call button within reach at all timesD. Giving hand massages dailyE. Repositioning the patient every 2 hours to reduce pressure injury riskF. Giving acetaminophen (Tylenol) 650 mg orally every 4 hours as needed

Correct Answer: A,C,D,E

Rationale: A: Teaching non-pharmacological techniques is within a nurse's scope without a physician's order. C: Ensuring the call button is accessible promotes safety independently. D: Hand massages are a comfort measure nurses can provide independently. E: Repositioning prevents pressure injuries and is an independent action. B requires a physician's order, and F involves medication administration, which is dependent.

ATI LPN Critical Thinking Exam | Nurselytic

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