ATI LPN
Patient Centered Care NCLEX Questions Questions
Question 1 of 5
While the nurse is taking the health history,the patient states My father and grandfather both had heart attacks and were unable to be very active afterward. How does the nurse interpret this? This statement is related to the functional health pattern of
Correct Answer: C
Rationale: This statement reflects family history and risk perception (C), part of health perception-health management per Gordon’s patterns. A (activity) is an outcome, not the statement’s focus, while B and D (cognition, coping) are unrelated, making C the correct interpretation.
Question 2 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 3 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 4 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 5 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.