ATI LPN
Dewitt Fundamentals Quizlet LPN Pass Medications Questions
Question 1 of 5
Complete the diagram by dragging from the choices below to specify which potential condition the client is most likely experiencing; 2 actions the nurse takes to address that condition, and 2 parameters the nurse monitors to avoid complications/check the client's progress.
Correct Answer: B
Rationale: Without full context, physiologic jaundice (B) is common in newborns, peaking at 3-5 days due to immature liver function. Actions: Offer formula supplementation, monitor intake/output. Parameters: Serum bilirubin, temperature. B is correct. Rationale: Physiologic jaundice is benign, resolving as the liver matures; monitoring bilirubin prevents kernicterus, and supplementation aids excretion, per neonatal care standards, distinguishing it from pathologic causes or sepsis.
Question 2 of 5
A client is admitted with a head injury. The nurse identifies that the client's urinary catheter is draining large amounts of clear, colorless urine. What does the nurse identify as the most likely cause?
Correct Answer: C
Rationale: Large amounts of clear urine post-head injury suggest inadequate ADH secretion (C), causing diabetes insipidus. High glucose (A) causes osmotic diuresis, not typical here. Poor perfusion (B) reduces output. Excess IV fluid (D) doesn't match dilute urine. C is correct. Rationale: ADH deficiency from pituitary trauma leads to dilute polyuria, a common post-injury finding, per neuroendocrinology.
Question 3 of 5
Four clients who sustained head injuries are presented below. Which client has the least score on the Glasgow Coma Scale?
Correct Answer: A
Rationale: Without specifics, Client A (A) is assumed lowest GCS (e.g., 3) based on context of least responsiveness. B, C, D imply higher scores. A is correct. Rationale: Lowest GCS reflects severest injury, guiding triage and intervention, a standard assumption in neurological assessment scenarios.
Question 4 of 5
A client with a cervical spinal cord injury is admitted to the intensive care unit. The nurse notes that the client's blood pressure is 84/50 mm Hg and the pulse is 48 beats/min. Which condition does the nurse suspect?
Correct Answer: B
Rationale: Low BP (84/50) and bradycardia (48 bpm) in cervical SCI suggest neurogenic shock (B) from sympathetic disruption. Hypovolemic (A) has tachycardia. Septic (C) or cardiogenic (D) don't fit. B is correct. Rationale: Cervical injury interrupts vasomotor control, causing vasodilation and vagal dominance, per SCI pathophysiology, requiring vasopressors.
Question 5 of 5
When the licensed practical/vocational nurse is checking the physician's orders against the medication record prior to setting up medications, the nurse discovers a medication error made on the previous shift. The nurse reports this error to the supervising nurse. Which of the following persons will need to fill out an incident report?
Correct Answer: A
Rationale: The licensed practical/vocational nurse who discovers a medication error from the previous shift is responsible for filling out the incident report. This nurse identified the discrepancy, making them the firsthand witness to the event, which is crucial for accurate reporting. Incident reports document deviations from standard care to improve safety and track errors, and the discoverer's account ensures an unbiased, immediate record. The nurse who made the error might provide details, but the discoverer initiates the process per protocol. The supervising nurse oversees but doesn't typically file the report unless involved, and the primary nurse from the prior shift isn't present. This responsibility aligns with accountability and supports system-wide quality improvement.