ATI LPN Fundamentals Test ch 789 caole

Extract:

Patient with chart notation error

Question 1 of 5

A nurse enters a notation in a patient's medical record but then discovers that the notation was made in the wrong chart. The nurse correctly:

A. follows agency policy for correcting the error.B. whites out the wrong entry and writes the note in the chart of the correct patient.C. removes the page on which the error is located and documents the other correct notes.D. blacks out the note to protect the confidentiality of the patient about whom it was written and writes in the margin 'wrong patient,' his signature, and the date and time.

Correct Answer: A

Rationale: Agency policy (
A) ensures legal correction. Whiting out (
B), removing pages (
C), or blacking out (
D) compromise record integrity.

Extract:

Patient concerned about 10-pound weight loss from chemotherapy

Question 2 of 5

The nurse caring for a patient who is concerned about her 10-pound weight loss relative to her chemotherapy tells the patient, 'Lucky you! Every cloud has a silver lining.' The nurse's statement is an example of which type of communication block?

A. Defensive responseB. Asking probing questionsC. Using clichesD. Changing the subject

Correct Answer: C

Rationale: The cliche (
C) dismisses concerns. Defensive responses (
A) protect the nurse, probing (
B) seeks info, and subject change (
D) diverts topics, of which apply.

Extract:

Question 3 of 5

The nurse chooses to use touch in the nurse-patient relationship because touch:

A. is appropriate only in special circumstances, such as with young children.B. can convey caring and support when words are difficult.C. is a nursing intervention of choice in almost all situations.D. should be avoided because of problems of cultural misinterpretation.

Correct Answer: B

Rationale:
Touch conveys caring (
B) when appropriate. Itâ€™s not child-specific (
A), not universal (
C), and cultural issues (
D) require sensitivity, not avoidance.

Extract:

Patient post-surgery from recovery room

Question 4 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:

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

Question 5 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.

ATI LPN Fundamentals Test ch 789 caole | Nurselytic

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