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 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 2 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 3 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.
Question 4 of 5
A student is ambulating a patient for the first time after surgery. What would the student do to anticipate and plan for an unexpected outcome?
Correct Answer: D
Rationale: Asking another student to help anticipates potential complications (e.g., falls) by ensuring additional support is available during ambulation.
Question 5 of 5
Each time a nurse administers an insulin injection to a patient with diabetes, she tells the patient what she is doing and demonstrates each step of preparing and giving the injection. What is the nurse promoting?
Correct Answer: A
Rationale: By explaining and demonstrating the injection process, the nurse is teaching the patient how to manage their condition, promoting self-care.