ATI LPN
ATI LPN Fundamentals Test ch 789 caole Questions
Extract:
Patient post-hip replacement refusing blood draw
Question 1 of 5
A resident in a skilled nursing facility for a short-term rehabilitation following a hip replacement says to the nurse, 'I don't want to have you draw any more blood for those useless tests.' When the nurse fails to convince the patient to have the blood drawn, the most appropriate documentation would be:
Correct Answer: B
Rationale: Quoting 'useless' and noting doctor notification (
B) is specific and complete. Vague desire (
A), omitting refusal (
C), or lacking quote (
D) reduce clarity.
Extract:
Patient learning a procedure
Question 2 of 5
When a nurse is 'talking through' a procedure or assisting the patient to learn, the nurse encourages the patient to:
Correct Answer: C
Rationale: Verbalizing steps (
C) reinforces learning. Writing (
A) is passive, reading (
B) lacks engagement, and visualization (
D) is less practical for procedures.
Extract:
Patient worried about cancer
Question 3 of 5
A patient states, 'I'm so worried that I might have cancer.' The nurse responds, 'It is time for you to eat breakfast.' The nurse's response is an example of:
Correct Answer: C
Rationale: Diverting to breakfast (
C) changes the subject. Judgmental (
A), cliches (
B), or reassurance (
D) don’t apply to this dismissal.
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
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:
Older adult patient learning dressing change
Question 5 of 5
When educating an older adult patient about changing his dressing, the nurse would most appropriately:
Correct Answer: A
Rationale: Ensuring glasses/hearing aids (
A) aids learning. Waiting for questions (
B) risks gaps, rushing (
C) confuses, and criticism (
D) discourages.