ATI LPN
NCLEX Questions Patient Centered Care Questions
Question 1 of 5
A nurse is caring for a client who has terminal cancer and requests to receive hospice care at home. The client's family members express concern about the client's decision and ask the nurse to convince the client to stay in the hospital. Which of the following responses should the nurse make?
Correct Answer: A
Rationale: The nurse should acknowledge the family members' concern, but also respect the client's right to autonomy and self-determination regarding end-of-life care. The nurse should explain that the client has the right to choose where they want to receive hospice care, whether it is at home or in another setting.
Question 2 of 5
A patient admitted with a diagnosis of Alzheimer's disease is anxious and dehydrated,has reportedly not been eating and has had a weight loss of $5 \mathrm{lb}$ in 1 week. Which nursing diagnosis is a priority?
Correct Answer: A
Rationale: Dehydration (A) is the priority due to immediate physiological risk (e.g., organ failure) over nutrition (B), which is secondary. C is incorrect (no excessive fluid), and D (skin integrity) is less urgent than fluid replacement in Alzheimer’s-related dehydration, making A the priority.
Question 3 of 5
Which of the following would be a priority nursing diagnosis for a 73-year-old male patient with heart failure?
Correct Answer: C
Rationale: Using ABCs (airway, breathing, circulation), activity intolerance (C) due to oxygen imbalance is the priority in heart failure, affecting energy conservation. A, B, and D are concerns but lower priority, making C the focus.
Question 4 of 5
The nurse is admitting a 64-year-old Hispanic male patient to the rehabilitation facility following surgical intervention for a broken hip. The nurse should first assess which of the following?
Correct Answer: D
Rationale: Pain (D) is the priority post-surgery, impacting recovery and rehab. A, B, and C are assessed later, making D the initial focus, using pain scales or graphics if language barriers exist.
Question 5 of 5
A nursing intervention directs the patient to be turned every 2 hours to prevent skin breakdown from immobility. Assessment findings on new reddened areas on the lateral aspects of the right knee and ankle are obtained. What is the most appropriate way for these findings to be used when the care plan is evaluated?
Correct Answer: D
Rationale: Evaluation adjusts the plan based on outcomes (D); redness after 2-hour turns indicates a need for hourly turns to prevent breakdown. A (documentation) doesn’t adjust care, B is incorrect (problem is actual), and C (calling MD) isn’t independent, making D the best response.