ATI LPN
Chapter 14 Organizing Patient Care Questions Questions
Question 1 of 5
Following surgery for placement of a ventriculoperitoneal (VP) shunt as treatment for hydrocephalus, the parents question why the infant has a small abdominal incision. The best response by the nurse would be to explain that the incision was made in order to
Correct Answer: A
Rationale: Pass the catheter into the abdominal cavity' is correct. A VP shunt drains cerebrospinal fluid from the brain to the peritoneal cavity for absorption, requiring an abdominal incision, per neurosurgical standards. Bladder , visualization , and stomach are incorrect shunt endpoints. A clarifies the procedure accurately.
Question 2 of 5
The nurse should initiate discharge planning for a client
Correct Answer: C
Rationale: Initiating discharge planning upon admission is standard. It ensures proactive coordination of care needs, per case management principles. Readiness , date set , and stabilization delay planning. C optimizes outcomes from the start.
Question 3 of 5
What is the most important consideration when teaching parents how to reduce risks in the home?
Correct Answer: D
Rationale: Age of children in the home is most important. Developmental stages dictate risk types (e.g., choking, falls), per safety education. Parental factors , services , and number matter but age-specific risks drive tailored teaching, making D the priority.
Question 4 of 5
The nurse is teaching diet restrictions for a client with Addison's disease. The client would indicate an understanding of the diet by stating
Correct Answer: A
Rationale: I will increase sodium and fluids and restrict potassium' shows understanding for Addison's disease. Adrenal insufficiency causes sodium loss and potassium retention, per endocrine nursing. B and C overcorrect potassium, D is opposite. A matches physiology.
Question 5 of 5
In preparing medications for a client with a gastrostomy tube, the nurse should contact the health care provider before administering which of the following drugs through the tube?
Correct Answer: A
Rationale: Cardizem SR tablet requires provider contact. Sustained-release forms shouldn't be crushed for tube administration, per pharmacology, risking altered absorption. Liquid Lanoxin and Tylenol are safe, Os-cal may need adjustment but isn't primary. A ensures safety.