ATI LPN
Fundamentals of Nursing: The Art and Science of Person-Centered Care Tenth, North American Edition
Chapter 18 : Implementing Questions
Question 1 of 5
A nurse is changing a sterile pressure ulcer dressing based on an established protocol. What does this mean?
Correct Answer: C
Rationale: An established protocol means written plans specify the nursing activities for the procedure, ensuring standardized and evidence-based practice.
Question 2 of 5
What must occur before physician-initiated interventions can be carried out?
Correct Answer: D
Rationale: Physician-initiated interventions require a verbal or written order from the physician, as they are prescribed based on medical authority.
Question 3 of 5
A patient who was previously awake and alert suddenly becomes unconscious. The nursing plan of care includes an order to increase oral intake. Why would the nurse review the plan of care?
Correct Answer: D
Rationale: The nurse reviews the plan to ensure the intervention (increasing oral intake) is safe, as an unconscious patient cannot safely consume oral intake, risking aspiration.
Question 4 of 5
A nurse is preparing to insert an intravenous line and begin administering intravenous fluids. The patient has visitors in the room. What should the nurse do?
Correct Answer: B
Rationale: The nurse should ask the patient if visitors should remain, respecting patient autonomy and privacy preferences during the procedure.
Question 5 of 5
A nurse is catheterizing a patient. What action illustrates respect for the patients privacy?
Correct Answer: C
Rationale: Closing the door to the room ensures privacy by limiting exposure to others, a key aspect of respecting patient dignity during invasive procedures.