ATI LPN Fundamentals Test ch 789 caole

Extract:

Delegating to a nursing assistant for Mr. Jones

Question 1 of 5

A nurse is delegating to a nursing assistant. The most appropriate form of this type of communication would be:

A. Come and get me if Mr. Jones has a high heart rate.'B. I need to know if Mr. Jones' blood pressure is elevated.'C. If Mr. Jones' heart rate is greater than 100, let me know.'D. Let me know if Mr. Jones' temperature is high.'

Correct Answer: C

Rationale: Specific heart rate threshold (
C) is clear. Vague terms like high (
A), elevated (
B), or high temperature (
D) risk misinterpretation.

Extract:

Question 2 of 5

The practical nursing student who is engaged in a therapeutic communication with a patient will have the most difficulty with the technique of:

A. silence.B. closed questions.C. using general leads.D. restating.

Correct Answer: A

Rationale: Silence (
A) challenges students by requiring patience. Closed questions (
B), leads (
C), and restating (
D) are easier to master.

Extract:

Postoperative patient needing wound care education

Question 3 of 5

The nurse will choose the best time to continue postoperative education regarding wound care and dressings, which would be:

A. immediately after the patient has been medicated for pain.B. the last thing in the evening, after visitors have left, before bedtime.C. when the patient is comfortable and receptive to the patient education.D. just before the patient is discharged, so the information is current.

Correct Answer: C

Rationale: Comfortable and receptive timing (
C) aids learning. Post-medication (
A) may cause drowsiness, bedtime (
B) risks fatigue, and discharge (
D) is rushed.

Extract:

Patient wringing hands, frowning, tearful, or smiling while expressing emotions

Question 4 of 5

The nurse recognizes the patient who demonstrates communication congruency when the patient

A. wrings her hands and paces around the room while denying that she is upset.B. states she is comfortable while she frowns, and her teeth are clenched.C. is tearful and slow in speech when talking about her husband's death.D. smiles and laughs while speaking of feeling lonely and depressed.

Correct Answer: C

Rationale: Tearful speech about loss (
C) aligns verbal and nonverbal cues. Wringing hands (
A), frowning (
B), and smiling (
D) contradict stated emotions, showing incongruence.

Extract:

Patient post-surgery from recovery room

Question 5 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.

ATI LPN Fundamentals Test ch 789 caole | Nurselytic

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