ATI LPN
Chapter 14 Organizing Patient Care Questions Questions
Question 1 of 5
The nurse is instructing a 65 year-old female client diagnosed with osteoporosis. The most important instruction regarding exercise would be to
Correct Answer: A
Rationale: Weight-bearing exercises are most important for a 65-year-old with osteoporosis. They stimulate bone density, slowing loss despite irreversibility, per evidence. Weight reduction helps but isn't primary. Avoiding risky exercise is passive, not proactive. Muscle strengthening supports but doesn't target bone. A, with calcium/estrogen, prevents progression, making it the key instruction.
Question 2 of 5
A client has had a tracheostomy for 2 weeks after a motor vehicle accident. Which task could the RN safely delegate to unlicensed assistive personnel (UAP)?
Correct Answer: B
Rationale: Changing trach ties can be safely delegated to a UAP. It's a routine task within scope, unlike teaching , monitoring SOB , or dressing care , which require RN skills. B ensures safety, making it appropriate.
Question 3 of 5
Which client data should the nurse act upon when a home health aide calls the nurse from the client's home to report these items?
Correct Answer: C
Rationale: Deeper amber, almost brown urine requires nurse action. It suggests dehydration or infection, urgent in a catheterized client, needing assessment. Sleep issues , meal service , and slow days are less acute. C prioritizes safety, making it the key data.
Question 4 of 5
The family of a 6 year-old with a fractured femur asks the nurse if the child's height will be affected by the injury. Which statement is true concerning long bone fractures in children?
Correct Answer: B
Rationale: Epiphyseal fractures often interrupt growth is true. The epiphyseal plate, critical for lengthening, is vulnerable; damage alters height. Periosteum heals well, quick healing doesn't prevent this, and blood supply doesn't negate plate injury. B reflects physiology, making it correct.
Question 5 of 5
A client tells the nurse, 'I have something very important to tell you if you promise not to tell.' The best response by the nurse is
Correct Answer: B
Rationale: I can't make such a promise' is best. Confidentiality has limits (e.g., safety); this maintains trust while setting boundaries, per ethics. Documentation , conditional , or team reporting overstep or confuse. B balances honesty, making it the top response.