ATI RN
Client Centered Care Model Questions
Question 1 of 5
A 40-year-old patient has had a generalized, nonpruritic skin eruption with intermittent exacerbations over the past 10 years. Currently, a well-circumscribed erythematous plaque appears over the patient's left gluteal fold area. The lesion is covered with scales and has some fissuring. The family nurse practitioner makes a diagnosis of:
Correct Answer: C
Rationale: Psoriasis presents as well-defined, scaly, erythematous plaques with chronic exacerbations, matching this description.
Question 2 of 5
The family nurse practitioner participates in a hospital-based quality improvement project. The nurse practitioner reviews four health records per month documented by a nurse practitioner colleague to ensure diabetes protocols are met. This process is a:
Correct Answer: C
Rationale: Peer review involves evaluating a colleague’s work to ensure quality and adherence to standards.
Question 3 of 5
Treatment of viral conjunctivitis includes the use of:
Correct Answer: B
Rationale: Viral conjunctivitis is managed symptomatically with cold compresses; antibiotics or steroids are not indicated.
Question 4 of 5
A 45-year-old patient who is a professional singer reports progressive hoarseness for the last four weeks. The hoarseness began after a three-hour performance. The patient does not smoke and reports no weight loss, upper respiratory infection, dysphagia, or shortness of breath. The family nurse practitioner manages this patient by:
Correct Answer: D
Rationale: Hoarseness in a singer without other symptoms suggests vocal cord issues; referral to an ENT for laryngoscopy is appropriate.
Question 5 of 5
A nine-year-old patient sustained a minor laceration while playing. The patient’s immunization record shows that the patient received a primary series of the pediatric diphtheria, tetanus, and acellular pertussis (DTaP) vaccine, a primary series of oral poliovirus vaccine, and a DTaP booster at age five just before entering school. According to current immunization recommendations, the family nurse practitioner gives the patient:
Correct Answer: C
Rationale: For a minor laceration, a tetanus toxoid (Td or Tdap) is given if >5 years since last dose; at age 9, Td is appropriate (DTaP is for younger children).