ATI LPN
NCLEX Questions Patient Centered Care Questions
Question 1 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 2 of 5
The Joint Commission focuses on safety in health care. Which action by the nurse reflects The Joint Commission's main objective?
Correct Answer: C
Rationale: Assessing respirations when administering opioids directly addresses safety by preventing respiratory depression, aligning with The Joint Commission’s focus. Range-of-motion exercises (A), meal intake (B), and delegation (D) are valuable but not primarily safety-focused.
Question 3 of 5
A client is scheduled for a mastectomy. As she is about to receive the preoperative medication, she tells the nurse that she does not want to have her breast removed but wants a lumpectomy. Which response indicates that the nurse is acting as a client advocate?
Correct Answer: B
Rationale: Calling the surgeon to explain options supports the client’s right to be informed and change her treatment plan, exemplifying advocacy. Reassurance (A), prayer (C), or a survivor visit (D) do not address her expressed desire for a different procedure.
Question 4 of 5
Which statement best describes the process of nursing case management?
Correct Answer: B
Rationale: Nursing case management is a collaborative process to assess, plan, and coordinate care for quality and cost-effective outcomes. Options A, C, and D are narrower and less comprehensive.
Question 5 of 5
A nurse wishes to provide client-centered care in all interactions. Which action by the nurse best demonstrates this concept?
Correct Answer: A
Rationale: Assessing cultural influences demonstrates client-focused care by addressing communication, culture, respect, compassion, education, and empowerment. Meeting basic needs (B), informing about tests (C), and orienting to the room (D) are important but less directly tied to the broad scope of client-centered care.