ATI LPN
Patient Centered Care Questions Questions
Question 1 of 5
The nurse is planning care for a patient with hypertension and obesity. Which of the following is a reasonable and measurable outcome for the nursing diagnosis of noncompliance with treatment regimen related to side effects of medications?
Correct Answer: A
Rationale: A reasonable, measurable outcome specifies action and timeline (A), like stating two modifications by a date, addressing noncompliance. B is vague (compliance undefined), C lacks measurement (understanding unquantified), and D is unrealistic (BP fluctuations occur), making A appropriate.
Question 2 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 3 of 5
An example of an intervention independently initiated by the nurse is
Correct Answer: A
Rationale: Teaching plans (A) are independent RN functions, unlike B, C, and D, which require physician orders (diet, labs, meds). A reflects RN autonomy, making it correct.
Question 4 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 5 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.