ATI LPN
Dewitt Fundamentals Quizlet LPN Pass Medications Questions
Question 1 of 5
The nurse visiting a client and the client's family in the home teaches family members to massage the client's back and enlists their aid in providing backrubs. Which of the following reasons most likely represents the main reason the nurse has enlisted the aid of the family?
Correct Answer: A
Rationale: Enlisting family for backrubs mainly reduces their helplessness, empowering them in care. Need, medication, or sleep benefits are secondary. Nurses foster this involvement.
Question 2 of 5
A client with congestive heart failure (CHF) experiences worsening dyspnea and peripheral edema. What is the primary indication for initiating oxygen therapy in this client?
Correct Answer: D
Rationale: Improving myocardial oxygenation (D) is the primary indication for oxygen therapy in CHF with worsening dyspnea, addressing myocardial ischemia from low oxygen supply. Reducing heart workload (A) is a benefit, not the goal. Edema (B) and fluid overload (C) require diuretics, not oxygen. Enhanced cardiac oxygenation supports pump function, per cardiology standards, critical in acute CHF exacerbations.
Question 3 of 5
The nurse is assessing a client who is receiving high-flow oxygen therapy via a non-rebreather mask. Which finding requires immediate intervention?
Correct Answer: D
Rationale: A loose mask fit (D) requires immediate intervention in non-rebreather therapy, as it reduces oxygen delivery (target 60-95%), compromising efficacy. 10 L/min (A) is appropriate. SpO2 95% (B) is normal. Condensation (C) is manageable. Tightening the mask, per respiratory care, restores high-flow effectiveness.
Question 4 of 5
The client scheduled for electroconvulsive therapy tells the nurse, 'I'm so afraid. What will happen to me during the treatment?' Which of the following statements is most therapeutic for the nurse to make?
Correct Answer: A
Rationale: Saying, 'You will be given medicine to relax you during the treatment,' is most therapeutic, addressing fear with reassurance about comfort and safety during electroconvulsive therapy (ECT), a common anxiety for clients. Detailing seizures, side effects, or post-treatment confusion might heighten fear rather than soothe it. Nurses use this approach to build trust, easing emotional distress while preparing clients for the procedure effectively.
Question 5 of 5
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.