ATI LPN
LPN Nursing Fundamentals Quizlet Questions
Question 1 of 5
The nurse is caring for a client following removal of the thyroid. Immediately post-op, the nurse should:
Correct Answer: A
Rationale: Post-thyroidectomy, a semi-Fowler's position (head elevated 30-45 degrees) with neck support reduces swelling and tension on the surgical site, minimizing complications like bleeding or airway obstruction. Turning the head side to side risks incision strain, while a supine position with sandbags could increase edema or discomfort without aiding breathing. Coughing with a flexed neck might stress the suture line, potentially causing dehiscence. Nurses prioritize this position to promote comfort, protect the airway, and monitor for signs like stridor, ensuring a safe recovery trajectory immediately after surgery.
Question 2 of 5
A client with glomerulonephritis is admitted to the unit. Which task is most suitable to delegate to the nursing assistant?
Correct Answer: C
Rationale: Measuring intake and output is suitable for a nursing assistant in glomerulonephritis care, a routine task tracking fluid balance, within their scope under RN supervision. Weighing, evaluating diuretics, or hair washing involve assessment or less priority. Nurses delegate this to optimize workflow, ensuring accurate data for fluid management critical in renal conditions.
Question 3 of 5
The physician has ordered intravenous chemotherapy for a client with colon cancer. Which task can be delegated to the licensed vocational nurse (LVN)?
Correct Answer: B
Rationale: Hanging the chemotherapy solution is within an LVN's scope, a technical task post-RN preparation, assuming the IV is established unlike insertion, monitoring reactions, or teaching, which require RN assessment skills. Nurses delegate this to optimize care, ensuring safe delivery while reserving complex duties for RN oversight in cancer treatment.
Question 4 of 5
The nurse is caring for a client with a diagnosis of anorexia nervosa. The nurse recognizes that the client is most likely to be characterized as a:
Correct Answer: B
Rationale: A 16-year-old female who is fastidious typifies anorexia nervosa, often perfectionistic and body-image obsessed, aligning with its peak onset in adolescent girls obesity, depression alone, or hypertension don't fit the profile. Nurses assess for weight loss and rituals, offering support and nutrition planning, critical for addressing this psychiatric condition's physical and emotional toll.
Question 5 of 5
The nurse is caring for a client with a history of asthma. Which finding is typically associated with an acute asthma attack?
Correct Answer: B
Rationale: Diminished breath sounds bilaterally typify an acute asthma attack, reflecting airway obstruction productive cough, normal rate, or high saturation don't align. Nurses auscultate, administering bronchodilators, ensuring airway patency in this respiratory emergency.