ATI LPN
Chapter 14 Organizing Patient Care Questions Questions
Question 1 of 5
A client is admitted with a diagnosis of schizophrenia. The client refuses to take medication and states 'I don't think I need those medications. They make me too sleepy and drowsy. I insist that you explain their use and side effects.' The nurse should understand that
Correct Answer: B
Rationale: The client has a right to know about medications . Autonomy entitles education on use and side effects, per ethics. Referral , nurse discretion , or complication risk undermine this. B respects rights, making it correct.
Question 2 of 5
A client is admitted with infective endocarditis (IE). Which finding would alert the nurse to a complication of this condition?
Correct Answer: A
Rationale: Dyspnea alerts to an IE complication, like heart failure or emboli, needing urgent care. Murmur is a symptom, rash and hemorrhage less acute. A signals distress, making it priority.
Question 3 of 5
A child is injured on the school playground and appears to have a fractured leg. The first action the school nurse should take is
Correct Answer: C
Rationale: Assessing the child and injury is the first action. It determines severity, guiding care, per nursing process. Calling , immobilizing , or compresses follow. C ensures informed response, making it priority.
Question 4 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 5 of 5
The nurse is assessing a client who reports drinking a quart of vodka daily. The client says, 'I think I have a little bit of a drinking problem.' Which response by the nurse is most therapeutic?
Correct Answer: B
Rationale: Tell me what you mean by a drinking problem' is most therapeutic. It encourages exploration, building trust, per communication standards. Judging , agreeing , or reporting hinder openness. B supports assessment, making it the best response.