ATI LPN
Patient Centered Care NCLEX Questions Questions
Question 1 of 5
Which outcome statement is a properly written goal?
Correct Answer: C
Rationale: A proper goal is specific and measurable (C), stating what (get up), how often (once daily), and duration (1 hour). A is vague (pain-free level undefined), B lacks measurability (importance varies), and D, while specific, lacks clarity on techniques, making C the best-written goal.
Question 2 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 3 of 5
Errors may occur with the use of data in formulating an appropriate nursing diagnosis. Based on what you know,which of the following represents the main source of errors in the nursing diagnosis process?
Correct Answer: A
Rationale: Assumptions without data (A) are the main error source, as diagnoses require defining characteristics. B, C, and D contribute but are less critical than unsubstantiated assumptions, making A the primary issue.
Question 4 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 5 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