ATI LPN
Patient Centered Care Questions Questions
Question 1 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 2 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.
Question 3 of 5
Which action demonstrates that the nurse understands the purpose of the Rapid Response Team?
Correct Answer: C
Rationale: The Rapid Response Team (RRT) intervenes rapidly for clients beginning to decline clinically, such as a significant drop in blood pressure (52 mm Hg), to prevent respiratory or cardiac arrest. Monitoring postoperative status (A), maintaining a flow sheet (B), and reporting restlessness (D) are important but not specific to the RRT's purpose.
Question 4 of 5
Which action by the nurse demonstrates the best practice for nursing documentation on a computerized record?
Correct Answer: D
Rationale: Documenting at the point of care ensures accuracy and timeliness, the best practice for computerized records. Deleting errors (A) compromises integrity, red font (B) is non-standard, and end-of-shift summaries (C) risk omissions.
Question 5 of 5
The physician prescribes warfarin (Coumadin) 15 mg daily. The nurse notes that this is three times the normal dose for this client based on the client's medication profile and laboratory work. What does the nurse do first?
Correct Answer: C
Rationale: Calling the physician first ensures safety by clarifying a potentially erroneous dose. Giving the dose (A) risks harm, consulting the pharmacy (B) delays direct resolution, and holding (D) without communication is unsafe.