ATI LPN
ATI LPN Critical Thinking Exam Questions
Extract:
Patient with a nursing diagnosis of airway clearance, ineffective
Question 1 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 2 of 5
To what does objective data refer when assessing a patient?
Correct Answer: A
Rationale: Objective data (
A) includes measurable findings by the provider, like vital signs. C and D are subjective, and B is incorrect as only A is accurate.
Extract:
Patient provided subjective data of intermittent chest pain upon exertion
Question 3 of 5
Subjective data provided by the patient included complaints of intermittent chest pain upon exertion. When performing a complete physical examination, the nurse might use an organized approach such as:
Correct Answer: A
Rationale: A head-to-toe assessment (
A) organizes a complete exam systematically. B and C are data types, not approaches, and D prioritizes needs, not physical exams.
Extract:
Question 4 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.
Question 5 of 5
Which of the following assists the nurse in the identification of nursing diagnoses?
Correct Answer: B
Rationale: Data clustering (
B) groups related signs and symptoms to form nursing diagnoses. Validated (
A), subjective (
C), and objective (
D) data are components but not the process of diagnosis.