ATI LPN
Patient Centered Care NCLEX Questions Questions
Question 1 of 5
Which nursing diagnosis would be a priority for a patient in acute respiratory distress?
Correct Answer: B
Rationale: Using ABCs, reduced gas exchange (B) is the priority in acute respiratory distress, addressing airway/breathing. A, C, and D are secondary, making B the immediate focus.
Question 2 of 5
A nurse is caring for a client who has paraplegia and is on an intermittent urinary catheterization program. Which of the following findings indicates to the nurse the need to catheterize the client?
Correct Answer: D
Rationale: Suprapubic discomfort suggests bladder distention, indicating the need for catheterization to relieve retention and prevent complications like urinary tract infections. Reflex (A), nocturnal (B), and urge (C) incontinence indicate bladder overactivity or involuntary emptying rather than retention, which is the primary concern for catheterization in this context.
Question 3 of 5
A nurse is preparing to insert an indwelling urinary catheter for a client. Which of the following actions should the nurse plan take?
Correct Answer: B
Rationale: Sterile gloves are essential to maintain asepsis and prevent urinary tracK
Question 4 of 5
The Institute for Healthcare Improvement (IHI) identified interventions to save client lives. Which actions are within the scope of nursing practice to improve quality of care?
Correct Answer: B
Rationale: Using sterile technique is within nursing scope to prevent infection and improve care quality. Central line insertion (A), intubation (C), and prescribing (D) are physician responsibilities, not nursing practice.
Question 5 of 5
The nurse is present when the physician discusses the potential effects of a chemotherapy regimen for a client with cancer. Weighing the benefits of the chemotherapy against possible side effects is an example of which ethical principle?
Correct Answer: B
Rationale: Beneficence involves promoting well-being by weighing benefits against harms, as in this chemotherapy discussion. Paternalism (A) overrides client choice, justice (C) ensures fairness, and autonomy (D) emphasizes self-determination.