ATI LPN Fundamentals Test ch 789 caole

Extract:

82-year-old patient learning dressing change

Question 1 of 5

Patient education for an 82-year-old patient to perform a dressing change to be done at home after discharge, the nurse would adjust the teaching session to:

A. include another person in the instruction because an 82-year-old person will be unable to master the technique.B. provide written material and diagrams alone.C. speed through the details because age and experience will shorten learning time.D. slow the pace and frequently ask questions to assess comprehension.

Correct Answer: D

Rationale: Slow pace with questions (
D) ensures understanding. Assuming inability (
A), relying on written (
B), or rushing (
C) hinder learning.

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:

A. write down the steps as she performs them.B. read the listed steps written on a poster board on the wall.C. verbalize each step until the steps are memorized.D. close her eyes and envision the process.

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 post-hip replacement refusing blood draw

Question 3 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:

A. Blood not drawn because tests are no longer desired by patient.'B. Refuses to have blood drawn; says tests are ''useless.'' Doctor notified.'C. Doctor notified of failure to draw ordered blood work.'D. Refuses to have blood drawn. Doctor notified.'

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:

Question 4 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.

Question 5 of 5

An example of a nurse communicating with a patient using open-ended questions would be:

A. What was your daughter's reaction to your desire for hospice?'B. Did you sleep all night without waking?'C. How many bowel movements have you had today?'D. Is your pain less today than it was yesterday?'

Correct Answer: A

Rationale: Hospice reaction (
A) invites elaboration. Sleep (
B), bowel (
C), and pain (
D) questions seek yes/no or numbers.

ATI LPN Fundamentals Test ch 789 caole | Nurselytic

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