ATI LPN
ATI LPN Med Surg Test 1 jj Custom Questions
Extract:
Question 1 of 5
A nurse is providing change-of-shift report to another nurse for a client using the Introduction, Situation, Background, Assessment and Recommendation (ISBARR) communication tool. Which of the following information should the nurse include as part of the situation component of this communication tool?
Correct Answer: A
Rationale: The situation component summarizes the client's current medical condition.
Question 2 of 5
A nurse is caring for a child who reports being physically abused by a family member. Which of the following statements should the nurse make?
Correct Answer: D
Rationale: Reassuring the child it's not their fault provides support and validation.
Question 3 of 5
A nurse on a medical-surgical unit is caring for a group of children. Which of the following findings should alert the nurse that one of the children is a potential victim of abuse?
Correct Answer: C
Rationale: Wanting to stay in the hospital may suggest an unsafe home environment, warranting investigation.
Question 4 of 5
A nurse in a long-term care facility is reinforcing teaching about safe delegation practices with a newly licensed nurse. Which of the following statements should the nurse include in the teaching?
Correct Answer: D
Rationale: Follow-up ensures delegated tasks are completed correctly, maintaining care quality.
Question 5 of 5
A nurse in a community clinic is caring for a 20-month-old toddler who has spiral fractures of the right ulna and radius. Which of the following findings should the nurse recognize as a potential indication of abuse?
Correct Answer: B
Rationale: Spiral fractures suggest twisting forces, inconsistent with a couch fall, indicating possible abuse.