ATI LPN
Chapter 14 Organizing Patient Care Questions Questions
Question 1 of 5
A pre-term baby develops nasal flaring, cyanosis and diminished breath sounds on one side. The provider's diagnosis is spontaneous pneumothorax. Which procedure should the nurse prepare for first?
Correct Answer: B
Rationale: Chest tube insertion relieves pneumothorax by evacuating air from the pleural space.
Question 2 of 5
An 82 year-old client is prescribed eye drops for treatment of glaucoma. What assessment is needed before the nurse begins teaching proper administration of the medication?
Correct Answer: B
Rationale: Manual dexterity ensures the client can instill drops accurately.
Question 3 of 5
The hospital is planning to downsize and eliminate a number of staff positions as a cost-saving measure. To assist staff in this change process, the nurse manager is preparing for the 'unfreezing' phase of change. With this approach the nurse manager should:
Correct Answer: B
Rationale: Unfreezing involves motivating staff by explaining the need for change.
Question 4 of 5
A child with tetralogy of Fallot visits the clinic several weeks before planned surgery. The nurse should give priority attention to
Correct Answer: A
Rationale: Tetralogy of Fallot causes cyanosis; assessing oxygenation is critical pre-surgery.
Question 5 of 5
A client is admitted with a diagnosis of myocardial infarction (MI). The client is complaining of chest pain. The nurse knows that pain related to an MI is due to
Correct Answer: A
Rationale: MI pain results from myocardial ischemia due to reduced oxygen supply.