ATI LPN Fundamentals Test ch 789 caole

Extract:

Patient post-surgery from recovery room

Question 1 of 5

A nurse begins the shift caring for a patient who has just returned from the recovery room after surgery. It is most important to document:

A. a nursing care plan in the medical record before assessing the patient so that the nurse can identify priorities.B. at least three times during the shift: at the beginning, in the middle, at the end, and as needed.C. an initial assessment of the patient and a plan based on the needs of the patient as assessed at the beginning of the shift.D. at the end of the shift so that the nurse can give his full attention and time to the patient's needs during the shift.

Correct Answer: C

Rationale: Initial assessment and plan (
C) set a baseline. Pre-assessment plans (
A), rigid timing (
B), or end-shift (
D) delay critical documentation.

Extract:

Older adult patient learning dressing change

Question 2 of 5

When educating an older adult patient about changing his dressing, the nurse would most appropriately:

A. be certain the patient is wearing his glasses and/or hearing aid.B. wait for the patient to ask any questions about the procedure.C. talk through the process rapidly to keep the patient from becoming tired.D. point out each mistake during the return demonstration.

Correct Answer: A

Rationale: Ensuring glasses/hearing aids (
A) aids learning. Waiting for questions (
B) risks gaps, rushing (
C) confuses, and criticism (
D) discourages.

Extract:

Hospitalized patient

Question 3 of 5

A nurse tells her neighbor personal information about a hospitalized patient. Telling her neighbor about this indicates that the:

A. Actions of the nurse are appropriate since his neighbor is his confidante, and the neighbor has assured him the information provided will not be shared.B. Nurse has not violated the confidentiality of the patient because the patient is terminal; sharing this information will not harm the patient.C. Nurse is actively promoting nursing as a profession, and it is important to share information that might encourage others to pursue a nursing career.D. Nurse has violated the confidentiality of the patient by discussing personal information about the patient with his neighbor.

Correct Answer: D

Rationale: Sharing patient info with a neighbor (
D) violates HIPAA. Assurances (
A) donâ€™t excuse breaches, terminal status (
B) is irrelevant, and promotion (
C) doesnâ€™t justify confidentiality violations.

Extract:

Patient packing belongings, concerned about new diet, post-surgery, or diagnosed with malignancy

Question 4 of 5

The nurse would identify an opportunity for a â€œteaching momentâ€ in the situation of a patient who:

A. is packing belongings in preparation for discharge.B. says, 'How will I remember all the things about my new diet?'C. has just returned from surgery for a deviated septum.D. has just been told of the malignancy of his tumor.

Correct Answer: B

Rationale: Expressing diet concerns (
B) signals a teaching moment. Discharge (
A) may be rushed, post-surgery (
C) limits alertness, and malignancy news (
D) causes distress, hindering learning.

Extract:

Question 5 of 5

To enhance the establishment of rapport with a patient, the nurse should:

A. Share information with the patient about other patients and why they are hospitalized.B. Share his own personal experiences so that the patient gets to know him as a friend.C. Act in a trustworthy and reliable manner; respect the individuality of the patient.D. Identify himself by name and title each time he introduces himself.

Correct Answer: C

Rationale: Trustworthy behavior and respecting individuality (
C) build rapport. Sharing others' info (
A) violates confidentiality, excessive personal sharing (
B) blurs boundaries, and introductions (
D) are insufficient alone.

ATI LPN Fundamentals Test ch 789 caole | Nurselytic

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