ATI LPN Fundamentals Test ch 789 caole

Extract:

Delegating to a nursing assistant

Question 1 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:

Patient worried about cancer

Question 2 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:

A. judgmental response.B. using cliches.C. changing the subject.D. giving false reassurance.

Correct Answer: C

Rationale: Diverting to breakfast (
C) changes the subject. Judgmental (
A), cliches (
B), or reassurance (
D) donâ€™t apply to this dismissal.

Extract:

Patient reluctant to self-inject

Question 3 of 5

A patient states, 'I don't think I'll ever be able to give myself an injection.' The best reply by the nurse is:

A. What bothers you most about the idea of giving yourself an injection?'B. Everyone feels like that at first. You'll get over it.'C. I know just how you feel. I would have trouble giving myself an injection.'D. Don't be afraid. It's an easy skill for anyone to learn.'

Correct Answer: A

Rationale: Exploring concerns (
A) supports discussion. Dismissing fears (B,
D) or relating personally (
C) invalidates patient feelings.

Extract:

Patient with periumbilical pain

Question 4 of 5

A clinic nurse is documenting in a patient medical record about the pain that brought the patient to seek medical attention. The best description is:

A. Severe pain around umbilicus, unable to sleep because of pain. Started approximately 2 hours after lunch.'B. Abdominal pain, unrelieved by antacids. Had spaghetti, salad, coffee, and ice cream cake for lunch.'C. Periumbilical sharp pain at pain level of 7 to 8 for last 3 hours, started 2 hours after lunch. No relief from antacids.'D. Pain at level of 7 to 8. Nothing has relieved or lessened pain, it just keeps getting worse.'

Correct Answer: C

Rationale: Detailed pain description (
C) includes location, intensity, duration, and relief attempts. Others lack specifics (A, B,
D).

Extract:

Communicating with a preschooler

Question 5 of 5

When communicating with a preschooler, the nurse should:

A. use unfamiliar language.B. use abstract explanations.C. use long, complex sentences.D. consider the developmental level, using familiar words.

Correct Answer: D

Rationale: Familiar words at developmental level (
D) aid preschooler understanding. Unfamiliar (
A), abstract (
B), or complex (
C) language confuses.

ATI LPN Fundamentals Test ch 789 caole | Nurselytic

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