Practice Question
A nurse is caring for a client who reports itching 30 min after receiving a newly prescribed medication. Which of the following data should the nurse document in the client's medical record?
Answer Choices:
Correct Answer:
Client states, "I started to itch after taking that medication."
Rationale:
When documenting, nurses must use the client’s own words in quotation marks to record subjective data.
🟡 This ensures the documentation is accurate, clear, and legally appropriate.
🟡 Avoid making assumptions or interpretations (e.g., “rash from medication”) unless confirmed.
🟡 Clear documentation helps in identifying potential allergic reactions or adverse drug effects.
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This question is from ATI PN Fundamentals~2020 NGN Exam1 which contains 50 questions.
More Questions from This Exam
A nurse is preparing to obtain a client's vital signs. Which of the following actions should the nurse take when washing their hands?
Answer Choices:
A. Rinse their forearms with running water before applying soap.
B. Hold their hands above elbow level while washing and rinsing.
C. Generate a lather by rubbing their hands together vigorously for 5 seconds.
D. Turn off the faucet with a clean paper towel after drying hands.
A nurse is preparing to perform a wound irrigation for a client who has a stage 3 pressure injury. Which of the following supplies should the nurse plan to use?
Answer Choices:
A. A piston syringe.
B. Barrier ointment.
C. Chilled irrigation solution.
D. Sterile cotton balls.
A nurse is reinforcing teaching with a new parent who is concerned about sudden infant death syndrome (SIDS). Which of the following statements by the client indicates an understanding of the teaching?
Answer Choices:
A. "I will place my baby on her side to sleep.”
B. "I should avoid giving my baby a pacifier.”
C. "I will remove all stuffed animals from my baby's crib.”
D. "I will cover my baby with a light blanket when she is sleeping.”
A nurse is assisting with the admission of a client to a medical-surgical unit. Which of the following findings should the nurse identify as an indication that the client is malnourished?
Answer Choices:
A. Heart rate 89/min.
B. Pink mucous membranes.
C. Pallor with scaly skin.
D. Body mass index 23.
Question Details
- Category: LPN Nursing Exam(s)
- Subcategory: LPN ATI Exams
- Domain: Fundamentals of Nursing
- Answer Choices: 4