Most priority nursing intervention while caring for a child who is suffering from tonic-clonic seizure?

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LPN Fundamentals Final Exam Questions

Question 1 of 5

Most priority nursing intervention while caring for a child who is suffering from tonic-clonic seizure?

Correct Answer: C

Rationale: During tonic-clonic seizures, safety is paramount. Oxygen (choice A) may follow but isn't first. Sitting/water (choice B) risks aspiration, inappropriate. Protecting from injury (choice C) padding, clearing objects prevents harm during convulsions. Restraints (choice D) worsen injury. C is correct, per seizure protocol. Nurses time seizures, ensure airway post-ictal, and reassure, prioritizing safety.

Question 2 of 5

Marissa Salva, Uses Benson's relaxation. How is it done?

Correct Answer: B

Rationale: Benson's relaxation (B) involves focusing on breathing, relaxing without tensing, and repeating a word/sound post-exhalation to reduce stress. Tensing muscles (A) is progressive relaxation (Jacobson). Positive statements (C) fit affirmations, not Benson. Exercise with meditation (D) is broader. Benson's method, per his research, uses breath focus and repetition for physiologic calm, making B correct.

Question 3 of 5

Therapeutic nurse client relationship is describes as follows 1. Based on friendship and mutual interest 2. It is a professional relationship 3. It is focused on helping the patient solve problems and achieve health-related goals 4. Maintained only as long as the patient requires professional help

Correct Answer: C

Rationale: A therapeutic relationship is professional (2), problem-focused (3), and time-limited (4), per Peplau thus C (2,3,4). Friendship (1) blurs boundaries, making A, B, and D incorrect. C aligns with nursing's therapeutic intent.

Question 4 of 5

According to Bloom, there are 3 domains in learning. Which of these domains is responsible for the ability of Donya Delilah to inject insulin?

Correct Answer: C

Rationale: Bloom's psychomotor domain (C) governs Donya Delilah's insulin injection skill physical action. Cognitive (A) is knowledge, affective (B) attitudes, motivative (D) isn't a domain. C fits motor learning, making it correct.

Question 5 of 5

Nurse Angela knew that Stephen Lee Mu Chin, has just undergone an operation with an incision near the diaphragm. She knew that this will contribute to some complications later on. She then should develop what type of Nursing diagnosis?

Correct Answer: D

Rationale: Post-op near-diaphragm incision risks complications (e.g., respiratory), warranting a risk diagnosis (D), per NANDA. Actual (A) needs current signs, probable (B) and possible (C) don't apply pre-symptom. D anticipates, making it correct.

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