ATI LPN
NCLEX Questions Patient Centered Care Questions
Question 1 of 5
A nurse is providing discharge instructions to a client who has hypertension. The client is from Haiti and speaks Creole. The nurse uses an interpreter to communicate with the client. Which statement by the nurse indicates effective use of an interpreter?
Correct Answer: A
Rationale: The nurse indicates effective use of an interpreter by using this statement, as it follows the best practices for working with an interpreter, such as speaking directly to the client in short sentences, using clear and simple language, and avoiding jargon or slang.
Question 2 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 3 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 4 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.
Question 5 of 5
A nurse is caring for a client who has urinary leakage due to nerve damage following a spinal cord injury. The nurse should identify that the client is experiencing which of the following types of urinary incontinence?
Correct Answer: A
Rationale: Reflex incontinence occurs due to involuntary bladder contractions from nerve damage, such as after a spinal cord injury, causing the bladder to empty without the client's control. Stress incontinence (B) involves leakage from physical pressure, urge incontinence (C) involves a sudden need to urinate, and overflow incontinence (D) results from incomplete emptying, none of which align with nerve damage-related involuntary emptying.