ATI LPN
Chapter 14 Organizing Patient Care Questions Questions
Question 1 of 5
The nurse is caring for a pregnant woman with pregnancy induced hypertension (PIH) receiving magnesium sulfate intravenously. In assessing the client, it is noted that respirations are 12, pulse and blood pressure have dropped significantly, and 8 hour output is 200 ml. What should the nurse do first?
Correct Answer: C
Rationale: Respiratory depression and oliguria suggest magnesium toxicity; stopping the infusion is the priority.
Question 2 of 5
The nurse is instructing a client with moderate persistent asthma on the proper method for using MDIs (multi-dose inhalers). Which medication should be administered first?
Correct Answer: D
Rationale: Beta agonists (bronchodilators) open airways first, enhancing subsequent drug delivery.
Question 3 of 5
A client confides in the RN that a friend has told her the medication she takes for depression, Wellbutrin, was taken off the market because it caused seizures. What is an appropriate response by the nurse?
Correct Answer: A
Rationale: Encouraging verification of misinformation empowers the client without altering treatment.
Question 4 of 5
Which of these women in the labor and delivery unit would the nurse check first when the water breaks (ROM) for all of them within a 2 minute period?
Correct Answer: A
Rationale: Multigravida at +2 station, 7 cm dilated, and 50% effaced is closest to delivery, requiring immediate assessment post-ROM.
Question 5 of 5
The nurse is caring for a client with congestive heart failure. Which finding requires the nurse's immediate attention?
Correct Answer: A
Rationale: Pulse oximetry of 85% indicates hypoxemia, a critical issue in CHF requiring immediate intervention.