ATI LPN
Chapter 14 Organizing Patient Care Questions Questions
Question 1 of 5
The family of a 6 year-old with a fractured femur asks the nurse if the child's height will be affected by the injury. Which statement is true concerning long bone fractures in children?
Correct Answer: B
Rationale: Epiphyseal fractures often interrupt growth is true. The epiphyseal plate, critical for lengthening, is vulnerable; damage alters height. Periosteum heals well, quick healing doesn't prevent this, and blood supply doesn't negate plate injury. B reflects physiology, making it correct.
Question 2 of 5
A client is admitted with a diagnosis of schizophrenia. The client refuses to take medication and states 'I don't think I need those medications. They make me too sleepy and drowsy. I insist that you explain their use and side effects.' The nurse should understand that
Correct Answer: B
Rationale: The client has a right to know about medications . Autonomy entitles education on use and side effects, per ethics. Referral , nurse discretion , or complication risk undermine this. B respects rights, making it correct.
Question 3 of 5
A client with Guillain Barre is in a nonresponsive state, yet vital signs are stable and breathing is independent. What should the nurse document to most accurately describe the client's condition?
Correct Answer: A
Rationale: Comatose, breathing unlabored' most accurately describes a nonresponsive Guillain-Barré client with stable vitals. Coma fits unresponsiveness, independent breathing notes stability. GCS 8 or 13 assumes scores not given, sleeping understates severity. A reflects condition, making it precise.
Question 4 of 5
A client is admitted with infective endocarditis (IE). Which finding would alert the nurse to a complication of this condition?
Correct Answer: A
Rationale: Dyspnea alerts to an IE complication, like heart failure or emboli, needing urgent care. Murmur is a symptom, rash and hemorrhage less acute. A signals distress, making it priority.
Question 5 of 5
A child is injured on the school playground and appears to have a fractured leg. The first action the school nurse should take is
Correct Answer: C
Rationale: Assessing the child and injury is the first action. It determines severity, guiding care, per nursing process. Calling , immobilizing , or compresses follow. C ensures informed response, making it priority.