ATI Fundamentals Proctored Exam LPN

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You are doing the evaluation step of the nursing process and find that two of the goals for the client have not been met. Which of the following actions would be best on your part?

  • A. Stop working on these goals, as evaluation is the last step.
  • B. Assess client's motivation for complying with the care plan.
  • C. Reassess problem and then review care plan and revise as needed.
  • D. Determine if the client has a knowledge deficit causing nonattainment.
Correct Answer: C

Rationale: When goals aren't met during evaluation, reassessing the problem and revising the care plan is the best action. This step identifies why outcomes like reduced swelling failed, perhaps due to an outdated intervention, and adjusts accordingly. Stopping assumes evaluation ends the process, ignoring its cyclical nature. Assessing motivation or knowledge deficits might inform revisions but isn't comprehensive without reassessment. This approach ensures care evolves with the client's condition, maintaining relevance and efficacy in the nursing process.

You may also like to solve these questions

What is nurse's primary critical observation when performing an assessment for determining an Apgar score?

  • A. Heart rate
  • B. Respiratory rate
  • C. Presence of meconium
  • D. Evaluation of Moro reflex
Correct Answer: A

Rationale: Apgar score assesses newborn vitality at 1 and 5 minutes post-birth across five criteria: heart rate, respiration, muscle tone, reflex, color. Heart rate (choice A) is primary; absent (<60 bpm = 0, <100 = 1, >100 = 2) dictates immediate resuscitation, making it the most critical. Respiratory rate (choice B) follows, but weak/absent breathing often ties to heart rate. Meconium (choice C) isn't scored directly, though it flags distress. Moro reflex (choice D) tests tone/reflex, secondary to vitals. A is correct, as heart rate drives initial intervention. Nurses prioritize it, ensuring rapid response to stabilize the infant.

Which of the following statement is TRUE about evaluation in nursing process?

  • A. First step of the process
  • B. Determines if goals are met
  • C. Only done once
  • D. All of the above
Correct Answer: B

Rationale: Evaluation determines if goals are met (B), per process e.g., pain reduced? Not first (A, assessment), not once (C, ongoing), not all (D) outcome-focused. B truly defines evaluation's role, making it correct.

How many minutes are allowed to pass if the client had engaged in strenuous activities, smoked or ingested caffeine before taking his/her BP?

  • A. 5
  • B. 10
  • C. 15
  • D. 30
Correct Answer: D

Rationale: After activity, smoking, or caffeine e.g., raising BP 30 minutes rest ensures accuracy, per AHA guidelines. Shorter times (5-15 min) risk false highs. Nurses enforce this e.g., post-exercise delay for reliable readings, standard in clinical assessment protocols.

Which of the following statement best describe alternative therapy?

  • A. Used with conventional medicine
  • B. Replaces conventional medicine
  • C. A diagnostic method
  • D. A surgical approach
Correct Answer: B

Rationale: Alternative therapy replaces conventional medicine (B), per definition e.g., herbs over drugs. Not with (A), not diagnostic (C), not surgical (D) standalone. B best defines its substitute role, making it correct.

He was called the father of sanitation.

  • A. Abraham
  • B. Hippocrates
  • C. Moses
  • D. Willam Halstead
Correct Answer: C

Rationale: Moses, in ancient Hebrew texts, set sanitation laws e.g., waste disposal, quarantine earning the 'father of sanitation' title. Abraham (patriarch), Hippocrates (medicine), and Halstead (surgery) differ. His Leviticus codes predate modern hygiene, influencing public health and nursing's infection control foundations.

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