ATI LPN Critical Thinking Proctored Exam

Show that documentation of patient care by the nurse is very important by selecting from the following: (select all that apply)

Select the proper order of the phases of the Nursing Process:

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 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 whe

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

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)

The primary source of assessment information is:

When using the SOAP method of charting, S stands for subjective data which means:

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

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

JCAHO regulates standards of care to:

The nurse administered the stat insulin dose as ordered, in the presence of the nurse's aide and the dietary aide, however, the nurse failed to chart the medication on the MAR. During a legal depositi

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?

In which step of the nursing process do nurses look at outcomes?

When discovering subjective data, recognize that they relate to:

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

Documenting the type of interventions carried out, the time care was given, and the signature of the care giver results in recording:

Which of the following assists the nurse in the identification of nursing diagnoses?

During the shift, the nurse charts only additional treatments done or withheld, changes in patient condition, and new concerns. Charting these factors demonstrates which of the following type of chart

During a physical examination, the nurse discovers that the patient demonstrates signs of flushed, dry, hot skin, dry mucous membranes and temperature elevation. The nurse realizes grouping this data

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

How is Maslow's Hierarchy of Human Needs used by nurses in a clinical setting?

Your patient is admitted with a serious injury of the left hip after a fall at home. She is crying with severe pain in her left hip and leg. Which nursing diagnosis would apply to this patient's immed

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

Who should document care in the patient record?