ATI LPN
COPD Patient Care Question Questions
Question 1 of 5
Caroline asks family members to leave while she cares for the 16 -year-old victim of a recent car accident. The father screams at her and tells her that she has no right to ask his family to leave, and that if she continues to do so, he will throw her out of the room. Caroline is shaken and tells her head nurse, who tells her that this kind of thing is just part of the job. The guidance of the head nurse:
Correct Answer: B
Rationale: Minimizing threats contributes to underreporting of workplace violence.
Question 2 of 5
The nurse is instructing a 65-year-old female client diagnosed with osteoporosis. The most important instruction regarding exercise would be to
Correct Answer: A
Rationale: Weight-bearing exercises are most important for osteoporosis, per the document, as they slow bone loss and improve density, despite irreversible loss. Weight reduction helps but isn't primary. Avoiding risky exercises is cautious but less proactive. Muscle strengthening supports bones but isn't the focus. A, with estrogen and calcium, prevents progression, making it the top instruction.
Question 3 of 5
After a client has an enteral feeding tube inserted, the most accurate method for verification of placement is
Correct Answer: A
Rationale: Abdominal x-ray is the most accurate method to verify enteral tube placement. It visually confirms the tube's position in the stomach or intestine, critical to avoid aspiration or misplacement complications. Auscultation is unreliable due to similar lung/stomach sounds. Flushing with saline tests patency, not location. Aspiration suggests placement via pH but isn't definitive, as secretions vary. X-ray is the gold standard, ensuring safety before feeding, making it the most precise choice.
Question 4 of 5
A nurse is assessing several clients in a long term health care facility. Which client is at highest risk for development of decubitus ulcers?
Correct Answer: A
Rationale: A 79-year-old malnourished client on bed rest is at highest risk for decubitus ulcers. Malnutrition impairs tissue repair, and immobility increases pressure on bony prominences. Obesity adds pressure but mobility reduces risk. Incontinence risks skin breakdown, but less than A's factors. Ambulatory status lowers risk. A combines critical risk factors, making it the highest priority.
Question 5 of 5
The care of which of the following clients can the nurse safely delegate to an unlicensed assistive personnel (UAP)?
Correct Answer: C
Rationale: An elderly client with hypertension and noncompliance can be safely delegated to a UAP. Routine tasks (e.g., vitals, hygiene) suit UAP scope, and the condition is stable. PVD with ulcers , pre-op asthma , and TIA with dizziness require RN assessment. C ensures safety, making it delegable.