ATI RN
Client Centered Care Model Questions
Question 1 of 5
The family nurse practitioner participates in a hospital-based quality improvement project. The nurse practitioner reviews four health records per month documented by a nurse practitioner colleague to ensure diabetes protocols are met. This process is a:
Correct Answer: C
Rationale: Peer review involves evaluating a colleague’s work to ensure quality and adherence to standards.
Question 2 of 5
A 45-year-old patient who is a professional singer reports progressive hoarseness for the last four weeks. The hoarseness began after a three-hour performance. The patient does not smoke and reports no weight loss, upper respiratory infection, dysphagia, or shortness of breath. The family nurse practitioner manages this patient by:
Correct Answer: D
Rationale: Hoarseness in a singer without other symptoms suggests vocal cord issues; referral to an ENT for laryngoscopy is appropriate.
Question 3 of 5
A nine-year-old patient sustained a minor laceration while playing. The patient’s immunization record shows that the patient received a primary series of the pediatric diphtheria, tetanus, and acellular pertussis (DTaP) vaccine, a primary series of oral poliovirus vaccine, and a DTaP booster at age five just before entering school. According to current immunization recommendations, the family nurse practitioner gives the patient:
Correct Answer: C
Rationale: For a minor laceration, a tetanus toxoid (Td or Tdap) is given if >5 years since last dose; at age 9, Td is appropriate (DTaP is for younger children).
Question 4 of 5
The following statements appear on a nursing care plan for a client after a mastectomy: Incision site approximated; absence of drainage or prolonged erythema at incision site; and client remains afebrile. These statements are examples of:
Correct Answer: D
Rationale: The given statements indicate the expected outcomes for a client after a mastectomy. 'Incision site approximated' means that the edges of the incision are close together, indicating proper healing. 'Absence of drainage or prolonged erythema at incision site' means that there is no discharge or prolonged redness, which are signs of infection or inflammation. 'Client remains afebrile' means that the client does not have a fever, indicating absence of infection. These statements describe the expected results of the nursing care and treatment provided to the client. Therefore, the correct answer is Expected outcomes.
Question 5 of 5
When developing a nursing care plan for a client with a fractured right tibia, the nurse includes in the plan of care independent nursing interventions, including:
Correct Answer: A
Rationale: Applying a cold pack to the tibia is an independent nursing intervention that reduces swelling and pain, within the nurse’s scope of practice. The document cuts off, but this option aligns with standard care for fractures. Elevation is also appropriate, but the phrasing '5 inches above the heart' is incomplete and unclear; A is the most complete option provided.