ATI LPN
Dewitt Fundamentals Quizlet LPN Pass Medications Questions
Question 1 of 5
The nurse is assessing a client who is receiving high-flow oxygen therapy via a non-rebreather mask. Which finding requires immediate intervention?
Correct Answer: D
Rationale: A loose mask fit (D) requires immediate intervention in non-rebreather therapy, as it reduces oxygen delivery (target 60-95%), compromising efficacy. 10 L/min (A) is appropriate. SpO2 95% (B) is normal. Condensation (C) is manageable. Tightening the mask, per respiratory care, restores high-flow effectiveness.
Question 2 of 5
The nurse calculates the amount of an antibiotic for injection to be given to an infant. The amount of medication to be administered is 1.25mL. The nurse should:
Correct Answer: A
Rationale: For an infant, 1.25mL exceeds the 0.5-1mL per-site limit for small muscles, so dividing it into two 0.625mL injections in each vastus lateralis ensures safe absorption without tissue damage. Dorsogluteal and ventrogluteal sites are risky or underdeveloped in infants. Nurses split doses this way, using preferred sites to minimize pain and optimize delivery, critical for pediatric dosing.
Question 3 of 5
A client with hypothyroidism is prescribed Synthroid (levothyroxine). The nurse should tell the client to take the medication:
Correct Answer: C
Rationale: Synthroid (levothyroxine) should be taken 30 minutes before breakfast on an empty stomach, maximizing absorption for hypothyroidism treatment, as food especially calcium or iron reduces uptake, per endocrine guidelines. Meal timing or bedtime dosing lowers efficacy. Nurses instruct this timing, ensuring consistent thyroid hormone levels, improving energy, metabolism, and symptom control for the client.
Question 4 of 5
The physician has ordered a culture for HBsAg for a client with suspected hepatitis. The nurse should:
Correct Answer: B
Rationale: Collecting an HBsAg culture (blood test for hepatitis B surface antigen) in a sterile container ensures accurate viral detection IV sites, fasting, or NG tubes don't apply to serology. Nurses use this method, avoiding contamination, aiding swift diagnosis of liver infection.
Question 5 of 5
The nurse is caring for a client with a right-sided mastectomy with immediate reconstruction. Four hours post-op, the nurse should give priority to:
Correct Answer: A
Rationale: Checking drains for bright red blood four hours post-mastectomy with reconstruction detects hemorrhage, a priority turning, pain meds, and BP follow bleeding control. Nurses monitor output, reporting excessive bleeding, ensuring stability in the acute post-op phase.