The nurse is teaching the parent of an infant client about common pediatric conditions. Which statement by the nurse about otitis media is correct?

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ATI LPN Fundamentals Proctored Exam 2024 Questions

Question 1 of 9

The nurse is teaching the parent of an infant client about common pediatric conditions. Which statement by the nurse about otitis media is correct?

Correct Answer: B

Rationale: Otitis media (OM), middle ear infection, is often bacterial (e.g., Streptococcus pneumoniae). The correct statement is B: vaccines like PCV13 prevent some causes by targeting pathogens. A is false; OM typically follows infections. C is wrong; OM isn't highly contagious or systemic. D is incorrect; pacifiers increase OM risk. Rationale: Vaccines reduce OM incidence by immunizing against common bacteria, a key preventive strategy per AAP guidelines, unlike the other statements which misrepresent etiology or prevention.

Question 2 of 9

The nurse enters the room to give a prescribed medication but the patient is inside the bathroom. What should the nurse do?

Correct Answer: B

Rationale: Returning after a few minutes and staying until the patient takes the medication ensures safe administration, adhering to the 'Five Rights' right patient, drug, dose, route, and time. The nurse verifies ingestion, preventing errors like missed doses or misuse, and documents accurately. Leaving medication unattended risks it being lost, taken incorrectly, or accessed by others, violating safety protocols. Instructing without supervision assumes compliance but lacks confirmation, potentially falsifying records if the dose isn't taken. Waiting briefly then leaving it bedside still neglects oversight. Returning and remaining present balances respect for the patient's privacy with accountability, ensuring the medication reaches its intended recipient at the prescribed time, critical for treatment efficacy and legal standards in nursing practice.

Question 3 of 9

They put girls clothes on male infants to drive evil forces away

Correct Answer: A

Rationale: Ancient Chinese dressed male infants in girls' clothes to confuse demons e.g., during infancy rites believing males drew evil. Unlike Egyptian, Indian, or Babylonian customs, this reflects spiritual protection, offering insight into cultural health beliefs relevant to nursing's cultural competence.

Question 4 of 9

Who is the first Filipino chief nurse of PGH?

Correct Answer: B

Rationale: Anastacia Giron-Tupas, PGH's first Filipino chief nurse, marked a shift to local leadership e.g., post-American rule. Delgado (PNA president), Sotejo (educator), and Tupas differ. Her tenure elevated Filipino roles, influencing nursing's national identity and autonomy.

Question 5 of 9

This is the best patient care model when there are many nurses but few patients.

Correct Answer: D

Rationale: Total patient care excels with many nurses and few patients, allowing each nurse to fully address one client's needs e.g., bathing, meds, education. Functional nursing assigns tasks (e.g., one nurse for vitals), team nursing divides labor, and primary nursing focuses continuity, but ample staffing makes total care ideal. For instance, a nurse can devote time to a single ICU patient, optimizing outcomes. This model leverages resources for intensive, individualized attention, enhancing care quality in such scenarios.

Question 6 of 9

The government passed a law improving health access. This is an example of?

Correct Answer: A

Rationale: Law improving access is health policy (A) rules for care, per definition. Coordination (B) organizes, patient-centered (C) tailors, literacy (D) understands not law-specific. A fits policy impact, making it correct.

Question 7 of 9

When the physician telephones to order a therapy such as a medication for the client of a student nurse, who is the best person to take this telephone order?

Correct Answer: A

Rationale: Hospital policy dictates who takes telephone orders, ensuring legal and safety compliance, typically a licensed nurse, not a student or instructor alone. This standard protects clients from errors by untrained personnel, aligning with nursing scope and institutional rules for accurate order execution.

Question 8 of 9

The nurse is caring for a client with a fractured tibia placed in an external fixator. Which of the following should be included in the plan of care?

Correct Answer: B

Rationale: Checking pin sites for infection (redness, drainage) is critical in external fixator care for a fractured tibia, preventing osteomyelitis flat legs, massage, or early ambulation risk stability or healing. Nurses monitor this, ensuring site care and antibiotics if needed, supporting bone recovery.

Question 9 of 9

Which of the following is NOT a contraindication in taking ORAL temperature?

Correct Answer: A

Rationale: Quadriplegia isn't an oral temp contraindication e.g., a paralyzed patient can hold a thermometer if alert. NGT (obstruction), dyspnea (breathing), and nausea (gagging) preclude it. Nurses opt for alternatives e.g., axillary per safety protocols.

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