ATI LPN
NCLEX Questions Patient Centered Care Questions
Question 1 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 2 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.
Question 3 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 4 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 5 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.