ATI LPN
Chapter 14 Organizing Patient Care Questions Questions
Question 1 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 2 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 3 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.
Question 4 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 5 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.