ATI LPN
Fundamentals of Nursing: The Art and Science of Person-Centered Care Tenth, North American Edition
Chapter 17 : Outcome Identification and Planning Questions
Question 1 of 5
A nurse is discharging a patient from the hospital. When should discharge planning be initiated?
Correct Answer: B
Rationale: Discharge planning should begin at the time of admission (
B) to ensure a smooth transition and continuity of care.
Question 2 of 5
A nurse assesses the vital signs of a patient who is one day postsurgery in which a colostomy was performed. The nurse then uses the data to update the patient plan of care. What are these actions considered?
Correct Answer: C
Rationale: Updating the care plan based on new assessments, such as post-surgery vital signs, is considered ongoing planning (
C).
Question 3 of 5
A father runs into the emergency room with his 18 -month-old son in his arms. The father screams, Help, he is not breathing! The nursing diagnosis of Impaired Gas Exchange is what level of priority diagnosis?
Correct Answer: D
Rationale: Impaired Gas Exchange in a non-breathing child is a life-threatening condition, making it a high-priority diagnosis (
D).
Question 4 of 5
The nursing diagnosis Impaired Gas Exchange, prioritized by Maslows hierarchy of basic human needs, is appropriate for what level of needs?
Correct Answer: A
Rationale: Impaired Gas Exchange relates to breathing, a physiologic need (
A), which is the most basic level in Maslow's hierarchy.
Question 5 of 5
A resident of a long-term care facility refuses to eat until she has had her hair combed and her make-up applied. In this case, what patient need should have priority?
Correct Answer: B
Rationale: The patient's refusal to eat until her appearance is addressed indicates that her need to feel good about herself (
B) is currently the priority.