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?

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LPN Fundamentals Final Exam Questions

Question 1 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.

Question 2 of 5

Mr. Gary's wife verbalized that she is anxious about the impending death of her husband. Which of the following is the most appropriate response by the nurse?

Correct Answer: B

Rationale: Tell me more about what you're feeling' (B) is most appropriate, inviting Mrs. Gary to express anxiety therapeutically, per Rogers. 'Everything's alright' (A) dismisses, 'you'll get over it' (C) assumes, 'why anxious' (D) judges. B fosters support, making it correct.

Question 3 of 5

Which of the following statement best describe algor mortis?

Correct Answer: A

Rationale: Algor mortis is cooling of the body after death (A), per post-mortem changes temp drops to ambient. Stiffening (B) is rigor, discoloration (C) livor, shrinking (D) not standard. A best defines algor mortis, making it correct.

Question 4 of 5

Which of the following situation violates confidentiality?

Correct Answer: C

Rationale: Discussing Mr. Gary's condition with another client (C) violates confidentiality breaching privacy, per ethics/HIPAA. Family (A) and team (B) are permissible, client himself (D) is direct care. C's unauthorized disclosure makes it the violation.

Question 5 of 5

The nurse admitted that she made a mistake in giving the medication and reported it to the physician. This is an example of?

Correct Answer: A

Rationale: Admitting a med error and reporting is accountability (A) taking responsibility, per ethics. Malpractice (B) and negligence (C) define the error, fidelity (D) promises. A reflects ownership, making it correct.

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