ATI LPN
Patient Centered Care Questions Questions
Question 1 of 5
A nurse is caring for a client who is Muslim and observes Ramadan. The client is scheduled to undergo a surgical procedure in the morning. Which action by the nurse demonstrates cultural sensitivity?
Correct Answer: B
Rationale: The nurse demonstrates cultural sensitivity by informing the client that they can break their fast for medical reasons, as this is an exception that is allowed in Islam. The nurse should respect the client's religious beliefs and practices, but also provide accurate and relevant information that may affect their health and safety, especially given the surgical context requiring fasting for anesthesia safety.
Question 2 of 5
Which of the following is an example of a measurable outcome for the patient who has undergone a surgical procedure with a pain rating of 7 on a scale of 0 to 10?
Correct Answer: D
Rationale: A measurable outcome specifies degree and time (D), e.g., pain to 2 or lower by shift’s end. A (under control) and C (decrease) are vague, B (no pain) is unrealistic, making D the precise, evaluable goal.
Question 3 of 5
Determine which example is true of measurability within the context of the nursing diagnosis.
Correct Answer: A
Rationale: Measurability requires specific, evaluable criteria (A), like listing infection signs by shift’s end. B links outcomes (not measurable), C is data, and D is intervention, making A the true example.
Question 4 of 5
An example of an intervention independently initiated by the nurse is
Correct Answer: A
Rationale: Teaching plans (A) are independent RN functions, unlike B, C, and D, which require physician orders (diet, labs, meds). A reflects RN autonomy, making it correct.
Question 5 of 5
A nurse is assisting with the implementation of a bowel training program for a client. For the program to be effective, the nurse should take the client to the bathroom at which of the following times?
Correct Answer: C
Rationale: Bowel training is most effective when timed to coincide with the client's natural urge to defecate, promoting a routine and reducing the risk of constipation or incontinence. Before meals (A) does not align with the natural defecation reflex, every 2 hours (B) ignores individual patterns, and after cramping (D) may indicate delayed response rather than optimal timing.