ATI LPN
Chapter 14 Organizing Patient Care Questions Questions
Question 1 of 5
A 14 year-old client has viral pneumonia and is receiving acetaminophen (Tylenol) for fever control. Which instruction should the nurse include when teaching the client's parents?
Correct Answer: C
Rationale: Check with the doctor before giving OTC cold preparations' is key. Viral pneumonia doesn't benefit from cough suppressants, and interactions with acetaminophen need oversight, per safety. Fever threshold is vague, alternating meds risks overdose, and fixed dosing lacks flexibility. C prevents harm, making it the best instruction.
Question 2 of 5
The nurse is caring for a client who had a total hip replacement yesterday. Which action should the nurse take to prevent dislocation of the prosthesis?
Correct Answer: A
Rationale: Keeping legs abducted with a pillow prevents dislocation post-hip replacement. It maintains alignment, reducing adduction risk, per protocol. Early ambulation is later, flexion risks dislocation, and instruction is secondary. A ensures stability, making it best.
Question 3 of 5
A 7 month pregnant woman is admitted with complaints of painless vaginal bleeding over several hours. The nurse should prepare the client for an immediate
Correct Answer: B
Rationale: An abdominal ultrasound is the priority for painless vaginal bleeding in a 7-month pregnant woman, likely indicating placenta previa or abruption, per obstetric protocols. It safely visualizes placental position and fetal status without radiation risk. A non-stress test monitors fetal heart rate but doesn't locate bleeding, pelvic exam risks exacerbating hemorrhage, and X-ray poses fetal radiation danger. B provides critical diagnostic data swiftly, ensuring maternal-fetal safety.
Question 4 of 5
Following surgery for placement of a ventriculoperitoneal (VP) shunt as treatment for hydrocephalus, the parents question why the infant has a small abdominal incision. The best response by the nurse would be to explain that the incision was made in order to
Correct Answer: A
Rationale: Pass the catheter into the abdominal cavity' is correct. A VP shunt drains cerebrospinal fluid from the brain to the peritoneal cavity for absorption, requiring an abdominal incision, per neurosurgical standards. Bladder , visualization , and stomach are incorrect shunt endpoints. A clarifies the procedure accurately.
Question 5 of 5
A nurse and client are talking about the client's progress toward understanding his behavior under stress. This is typical of which phase in the therapeutic relationship?
Correct Answer: C
Rationale: The working phase involves discussing progress and understanding behavior, per therapeutic relationship stages. Pre-interaction is preparation, orientation establishes rapport, and termination concludes. C fits the active collaboration described.