ATI LPN Fundamentals Test ch 789 caole

Extract:

Question 1 of 5

Which nursing assessment is an example of brevity and clarity while meeting legal guidelines?

A. Taking fluids poorly, but more than yesterday.'B. Apparently comfortable all night. Offers no complaints of pain.'C. Patient says she is still slightly nauseated, would like to try some toast and tea.'D. 4 cm reddened area over sacrum. Skin intact, warm, and dry.'

Correct Answer: D

Rationale: Specific, measurable sacral description (
D) meets legal clarity. Vague fluids (
A), assumptions (
B), and subjective nausea (
C) lack precision.

Extract:

Patient packing belongings, concerned about new diet, post-surgery, or diagnosed with malignancy

Question 2 of 5

The nurse would identify an opportunity for a â€œteaching momentâ€ in the situation of a patient who:

A. is packing belongings in preparation for discharge.B. says, 'How will I remember all the things about my new diet?'C. has just returned from surgery for a deviated septum.D. has just been told of the malignancy of his tumor.

Correct Answer: B

Rationale: Expressing diet concerns (
B) signals a teaching moment. Discharge (
A) may be rushed, post-surgery (
C) limits alertness, and malignancy news (
D) causes distress, hindering learning.

Extract:

Patient post-surgery from recovery room

Question 3 of 5

A nurse begins the shift caring for a patient who has just returned from the recovery room after surgery. It is most important to document:

A. a nursing care plan in the medical record before assessing the patient so that the nurse can identify priorities.B. at least three times during the shift: at the beginning, in the middle, at the end, and as needed.C. an initial assessment of the patient and a plan based on the needs of the patient as assessed at the beginning of the shift.D. at the end of the shift so that the nurse can give his full attention and time to the patient's needs during the shift.

Correct Answer: C

Rationale: Initial assessment and plan (
C) set a baseline. Pre-assessment plans (
A), rigid timing (
B), or end-shift (
D) delay critical documentation.

Extract:

Patient concerned about living alone

Question 4 of 5

The nurse is caring for a patient who is concerned about living alone. The best response by the nurse is:

A. I think you should live with your family.'B. Why don't you live with your family?'C. If you were my mom, I'd have you live with me.'D. Where have you considered living?'

Correct Answer: D

Rationale: Open-ended living options (
D) engage discussion. Suggestions (
A), probing (
B), or personalizing (
C) limit patient autonomy.

Extract:

Patient stating poor sleep

Question 5 of 5

The nurse is caring for a patient who states, 'I tossed and turned last night.' The nurse responds to the patient, 'You feel like you were awake all night?' This is an example of:

A. restatement.B. reflection.C. open-ended question.D. offering self.

Correct Answer: B

Rationale: Reflection (
B) captures feelings. Restatement (
A) repeats exactly, open-ended (
C) seeks broad input, and offering self (
D) provides support presence.

ATI LPN Fundamentals Test ch 789 caole | Nurselytic

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