ATI LPN Critical Thinking Exam | Nurselytic

Questions 42

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ATI LPN Critical Thinking Exam Questions

Extract:

Patient is confined to bed rest


Question 1 of 5

The patient is confined to bed rest. This contributes to immobility of the patient. How should bed rest be indicated on the nursing care plan?

Correct Answer: B

Rationale: Bed rest (
B) is a risk factor for complications like pressure ulcers or DVT, which should be noted in the care plan. A is subjective, C is an intervention, and D is incomplete as bed rest can hinder recovery if prolonged.

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)

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.

Extract:

Patient with edema has a problem of fluid overload


Question 3 of 5

A patient with edema has a problem of fluid overload. The nurse is developing a care plan and selecting interventions that will assist the patient in reducing the fluid. An important consideration when developing the care plan is to:

Correct Answer: D

Rationale: Involving the patient in the care plan (
D) ensures better adherence and personalization, which is critical for effective fluid reduction. A is incorrect because NANDA-I provides standardized diagnoses for accuracy. B is incorrect as interventions should be sufficient, not arbitrarily limited. C is incorrect because interventions should be effective, not merely easy.

Extract:


Question 4 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 5 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.

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