The nurse is working with parents to plan home care for a 2 year-old with a heart problem. A priority nursing intervention would be to

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ATI LPN Test Bank

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Question 1 of 5

The nurse is working with parents to plan home care for a 2 year-old with a heart problem. A priority nursing intervention would be to

Correct Answer: A

Rationale: CPR training is critical for managing potential cardiac emergencies in a child with heart issues.

Question 2 of 5

A confused client has been placed in physical restraints by order of the provider. Which task could be assigned to an unlicensed assistive personnel (UAP)?

Correct Answer: A

Rationale: Assisting with ADLs is within UAP scope; monitoring and evaluation require nursing judgment.

Question 3 of 5

A client with hepatitis A (HAV) is newly admitted to the unit. Which action would be the priority to include in this client's plan of care within the initial 24 hours?

Correct Answer: C

Rationale: HAV spreads via fecal-oral route; gown and gloves prevent transmission during initial care.

Question 4 of 5

A hospitalized child suddenly has a seizure while his family is visiting. The nurse notes whole body rigidity followed by general jerking movements. The child vomits immediately after the seizure. A priority nursing diagnosis for the child is

Correct Answer: D

Rationale: Post-seizure vomiting and altered consciousness increase aspiration risk, the immediate priority.

Question 5 of 5

Which tasks, if delegated by the new charge nurse to a unlicensed assistive personnel (UAP), would require intervention by the nurse manager?

Correct Answer: C

Rationale: Bathing a patient with internal radiation requires radiation safety training, beyond UAP scope.

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