ATI LPN Fundamentals Test ch 789 caole

Extract:

Patient leaving AMA demanding medical record

Question 1 of 5

A patient who is very angry and is leaving the hospital against medical advice (AMA) demands to have the medical record to take, because it is her personal property. An appropriate response would be:

A. The information in your medical record is confidential, and you cannot leave this facility with it.'B. Because you are leaving against the medical advice of your primary care provider, you may not have the medical record.'C. You are entitled to the information in your medical record, but the medical record is the property of the hospital. I will see about having a copy made for you.'D. Certainly. This hospital doesn't need to keep it if you are leaving and will not be returning here.'

Correct Answer: C

Rationale: Offering a copy (
C) respects rights while noting hospital ownership. Confidentiality (
A) misleads, AMA (
B) is irrelevant, and giving records (
D) is illegal.

Extract:

Delegating to a nursing assistant

Question 2 of 5

When the nurse is giving direction to a nursing assistant who is being delegated part of the patient care, the nurse's most effective direction would be:

A. Take the vital signs on all the patients in the lounge and tell me whether there are problems.'B. Do the morning care first on the patients in 205 and 206 who can't get out of bed.'C. Give the patient in 204A a shower after breakfast, and call me to check her feet before you get her dressed.'D. You take care of all the patients in 205 and 206. Let me know how you're doing and whether you need any help.'

Correct Answer: C

Rationale: Specific shower and follow-up instruction (
C) is clear. Vague vitals (
A), general care (
B), or broad tasks (
D) lack precision.

Extract:

Question 3 of 5

An aspect of computer use in patient care in which the LPN may need to be proficient includes:

A. Scheduling admissions, discharges, and nurse staffing to keep the unit at the best occupancy and utilization.B. Educating patients how to use hospital computers to access information such as discharge instructions or information relative to specific medications.C. Input of data such as requests for radiographs or laboratory services.D. Programming the computer to record data from primary care provider and other health care workers.

Correct Answer: C

Rationale: Data input like lab requests (
C) is an LPN task. Scheduling (
A) is administrative, patient computer use (
B) is rare, and programming (
D) is beyond scope.

Question 4 of 5

The nurse is aware that the major modes of learning are: (Select all that apply.)

A. oral.B. visual.C. gustatory.D. auditory.E. kinesthetic.F. tactile.

Correct Answer: B,D,E,F

Rationale: Visual (
B), auditory (
D), kinesthetic (E), and tactile (F) are learning modes. Oral (
A) isnâ€™t distinct, and gustatory (
C) is irrelevant.

Question 5 of 5

To convey the intervention of active listening, the nurse would:

A. write down remarks on a clipboard to facilitate later topics of conversation.B. make a conscious effort to block out other sounds in the immediate environment.C. maintain eye contact by staring at the patient.D. prompt the patient when the patient stops talking for a moment.

Correct Answer: B

Rationale: Blocking distractions (
B) aids listening. Writing (
A) distracts, staring (
C) intimidates, and prompting (
D) interrupts patient pacing.

ATI LPN Fundamentals Test ch 789 caole | Nurselytic

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