ATI LPN Critical Thinking Exam

Extract:

Question 1 of 5

When documenting events in a patient's chart, the nurse should chart:

A. the specific time of all sudden changes in the patient's conditionB. the period the shift coversC. every 2 hoursD. every hour on the hour

Correct Answer: A

Rationale: Charting sudden changes with specific times (
A) ensures accuracy and supports care decisions. B, C, and D are less precise or unnecessary.

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)

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 3 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.

Question 4 of 5

Compare an actual nursing diagnosis with a risk for nursing diagnosis, recognizing that in the case of the actual nursing diagnosis

A. the patient is vulnerable to develop the problemB. there is no evidence of defining characteristicsC. a condition is currently presentD. it is written as a two-part statement

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.

Question 5 of 5

Clarify the primary purpose of nursing orders:

A. to clarify nursing principlesB. to resolve the patient's problemsC. to support physician's ordersD. to provide broad, general statements

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.

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