ATI LPN
Dewitt Fundamentals Quizlet LPN Pass Medications Questions
Question 1 of 9
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.
Question 2 of 9
Which of the following statement is TRUE about chain of command?
Correct Answer: B
Rationale: Chain of command is a structured reporting line (B), per nursing e.g., nurse to supervisor. Not alone (A), not emergency-only (C), not all (D) hierarchy-based. B truly defines its role, like Mr. Gary's care issues, making it correct.
Question 3 of 9
Which of the following foods are recommended for mania patients:
Correct Answer: A
Rationale: Mania, a feature of bipolar disorder, involves hyperactivity and impulsivity, affecting eating habits. Finger foods (choice A) are portable, easy to eat, and suit restless patients who may not sit for meals, providing nutrition without utensils. Liquid foods (choice B) are less practical for high-energy states, better for sedation or dysphagia. Semi-solid foods (choice C) require more effort, while favourite foods (choice D) may encourage intake but aren't specific to mania's needs. A is correct, as finger foods match the patient's behavior, ensuring caloric intake amidst agitation. Nurses must offer such foods, monitor lithium levels if prescribed, and adapt care to mood swings, supporting nutritional stability.
Question 4 of 9
When bathing a patient's extremities, the nurse should use long, firm strokes from the distal to the proximal areas. This technique:
Correct Answer: C
Rationale: Distal-to-proximal strokes enhance venous return, aiding circulation.
Question 5 of 9
Which of the following statement best describe palliative care ethics?
Correct Answer: B
Rationale: Palliative care ethics prioritize comfort (B), per principles e.g., symptom relief over cure. Not curing (A), not ignoring wishes (C), not legal (D) ethics-driven. B best defines its comfort focus, like Mr. Gary's end-of-life needs, making it correct.
Question 6 of 9
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 7 of 9
The most important nursing intervention to correct skin dryness is:
Correct Answer: D
Rationale: Hydration, gentle soap, and lotion prevent cracking and infection.
Question 8 of 9
A nurse is admitting a client with a history of hypertension to a medical unit and finds the client's blood pressure to be 200/110 mmHg. Which intervention reflects secondary prevention?
Correct Answer: B
Rationale: Secondary prevention detects disease early to curb progression, apt for a hypertensive client. Measuring blood pressure finding 200/110 mmHg identifies a spike in a known condition, enabling swift action like medication tweaks to prevent stroke or heart damage, a nursing priority on admission. Teaching a low-sodium diet or exercise is primary or tertiary, preventing onset or managing long-term, not detecting. Referring to a specialist is tertiary, escalating care post-detection. Blood pressure checks align with secondary's focus routine monitoring catches crises early, critical since hypertension's often silent. This intervention ensures timely response, leveraging nursing's assessment skills to safeguard the client from complications, a key step in acute settings.
Question 9 of 9
Which of the following statements is an OBRA regulation that the nurse must keep in mind when considering applying a restraint to a client?
Correct Answer: B
Rationale: The Omnibus Budget Reconciliation Act (OBRA) mandates that a physician's order for restraints be time-limited, ensuring periodic reassessment to minimize use. This regulation protects clients from prolonged restriction, requiring justification and renewal, such as every 24 hours. Restraints aren't a first choice alternatives are prioritized and verbal orders need prompt signing, but time limits are key. Family objections don't legally veto if clinically warranted. This rule balances safety with rights, critical in nursing practice.