ATI LPN
Dewitt Fundamentals Quizlet LPN Pass Medications Questions
Question 1 of 9
How many minutes are allowed to pass if the client had engaged in strenuous activities, smoked or ingested caffeine before taking his/her BP?
Correct Answer: D
Rationale: After activity, smoking, or caffeine e.g., raising BP 30 minutes rest ensures accuracy, per AHA. Shorter risks false highs. Nurses enforce this e.g., post-exercise for readings, per protocols.
Question 2 of 9
The pathological process causing esophageal varices is:
Correct Answer: C
Rationale: Portal hypertension causes blood to back up into esophageal veins.
Question 3 of 9
Nurse Irma saw Roger and told Nurse Aida 'Oh look at that psychotic patient' Nurse Aida should intervene and correct Nurse Irma because her statement shows that she is lacking?
Correct Answer: B
Rationale: Nurse Irma lacks positive regard (B). Labeling Roger as 'that psychotic patient' dehumanizes him, showing judgment, not acceptance. Empathy (A) involves understanding feelings, not absent here. Comfortable sense of self (C) and self-awareness (D) relate to Irma's confidence and reflection, not her attitude toward Roger. Positive regard, per Rogers, requires unconditional acceptance, which Irma violates, prompting Aida's correction, making B correct.
Question 4 of 9
Which of the following is a contraindication in taking RECTAL temperature?
Correct Answer: B
Rationale: Neutropenia contraindicates rectal temp e.g., infection risk from low immunity unlike unconsciousness (manageable), NPO (irrelevant), or kids (common). Nurses avoid it e.g., immunocompromised opting for axillary, per infection control.
Question 5 of 9
Which of the following statement best describe spirituality?
Correct Answer: B
Rationale: Spirituality is a personal belief about meaning and purpose (B), per holistic care beyond religion (e.g., hope, connection). Rules (A) limit to religion, treatment (C) medicalizes, taboo (D) misframes. B best captures spirituality's broad, individual essence, aligning with nursing views, making it correct.
Question 6 of 9
A nurse wears a gown when:
Correct Answer: D
Rationale: A nurse wears a gown primarily when the patient's blood or body fluids may contaminate their clothing, adhering to standard precautions for infection control. This protects against pathogens e.g., during wound care or childbirth reducing transmission risk. Poor hygiene might prompt gloves or masks, but gowns target fluid exposure, not general cleanliness. Medication administration rarely involves fluid splash unless invasive (e.g., IV), not routine enough for gowns. AIDS alone doesn't mandate gowns unless fluid exposure is likely precautions are universal, not disease-specific. Fluid contact is the key trigger, as per CDC guidelines, ensuring nurse safety and preventing cross-contamination, making this the most precise scenario for gown use in clinical practice.
Question 7 of 9
The physician's orders for a client with acute pancreatitis include the following: strict NPO, NG tube to low intermittent suction. The nurse recognizes that these interventions will:
Correct Answer: A
Rationale: NPO and NG suction reduce pancreatic enzyme secretion in acute pancreatitis by minimizing gut stimulation insulin needs, gastric acid, and pain persist. Nurses implement this, resting the pancreas, critical for reducing inflammation and pain in this acute condition.
Question 8 of 9
The nurse is preparing a client with a history of seizures for an EEG. Which instruction should be included in the nurse's teaching?
Correct Answer: B
Rationale: Avoiding caffeine before an EEG prevents stimulation that could skew seizure activity readings overnight stays, hyperventilation (if ordered), or 4-hour duration aren't standard. Nurses teach this, ensuring accurate brain wave capture, vital for epilepsy diagnosis.
Question 9 of 9
Which of the following is inappropriate nursing action when administering NGT feeding?
Correct Answer: A
Rationale: Placing the feeding 20 inches above the nasogastric tube's insertion point is inappropriate, as excessive height causes rapid flow, risking aspiration or gastric distension. Standard practice recommends 12-18 inches for controlled delivery, ensuring patient safety and comfort. Introducing the feeding slowly prevents sudden stomach overload, reducing nausea or reflux correct practice. Instilling 60 ml of water post-feeding clears the tube, maintaining patency and hydration a standard, appropriate step. Assisting the patient into Fowler's position (elevated head) minimizes aspiration risk, aligning with best practice. The excessive height deviates from guidelines, potentially overwhelming the stomach's capacity and compromising digestion or respiratory safety, making it the clear inappropriate action in NGT feeding administration.