ATI LPN Critical Thinking Exam

Extract:

Question 1 of 5

Understanding that health care personnel must respect the confidentiality of patients' records, the nurse:

A. ethically can look at a friend's chart to see the diagnosisB. shares information from a chart to protect a friendC. knows that only the Patient's Bill of Rights advocates confidentialityD. reads charts only for professional reasons

Correct Answer: D

Rationale: Nurses must access records only for professional reasons (
D) to comply with HIPAA. A and B violate confidentiality, and C is incorrect as multiple laws protect privacy.

Question 2 of 5

On what form/forms should the nurse chart when administering a narcotic?

A. Physician's Order SheetB. Narcotic Administration SheetC. Care PlanD. MAR and Narcotic Administration Sheet

Correct Answer: D

Rationale: Narcotics are documented on both the MAR (Medication Administration Record) (
D) for all medications and the Narcotic Administration Sheet for controlled substances to ensure tracking and compliance. A, B alone, and C are incorrect.

Question 3 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 4 of 5

Select the type of assessment which is performed continuously throughout nurse-patient contact:

A. focusedB. body systemsC. subjectiveD. complete

Correct Answer: A

Rationale: Focused assessments (
A) are ongoing, targeting specific issues like pain or breathing during contact. Body systems (
B), subjective (
C), and complete (
D) assessments are not continuous.

Extract:

Patient with a nursing diagnosis of airway clearance, ineffective

Question 5 of 5

The patient with a nursing diagnosis of airway clearance, ineffective, might have a desired patient outcome of:

A. oxygen will be continuedB. the patient's coughing frequency will increaseC. cyanosis may be presentD. within 24 hours, the patient will demonstrate no signs or symptoms of dyspnea

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.

ATI LPN Critical Thinking Exam | Nurselytic

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