ATI LPN
Quizlet LPN Fundamentals Questions
Question 1 of 5
Which intervention should the nurse prioritize to promote effective airway clearance in a client with impaired oxygenation?
Correct Answer: C
Rationale: Encouraging deep breathing and coughing (C) is the priority to promote airway clearance in impaired oxygenation, as it mobilizes secretions, preventing obstruction and enhancing gas exchange. Incentive spirometry (A) expands lungs but doesn't directly clear airways. Bronchodilators (B) relieve bronchospasm, aiding airflow, not secretion removal. High Fowler's (D) improves lung expansion but doesn't address secretions. Deep breathing inflates alveoli, while coughing expels mucus, directly tackling the root of impaired oxygenation, per respiratory therapy principles, reducing risks like atelectasis or pneumonia.
Question 2 of 5
Which of the following medication orders needs further clarification?
Correct Answer: C
Rationale: The Coumadin order (10 mg PO) lacks a frequency (e.g., daily), making it incomplete and requiring clarification to ensure safe anticoagulation dosing, critical due to bleeding risks. Other orders specify timing and conditions clearly Darvocet PRN, Mysoline thrice daily, Premarin daily. Nurses seek clarification to prevent errors, ensuring precise administration aligned with therapeutic goals.
Question 3 of 5
The treatment protocol for a client with acute lymphocytic leukemia includes prednisone, methotrexate, and cimetidine. The purpose of the cimetidine is to:
Correct Answer: D
Rationale: Cimetidine, an H2 blocker, prevents gastric ulcers, a common prednisone side effect in leukemia treatment, by reducing acid production protecting the stomach during corticosteroid use. It doesn't affect pancreatic enzymes, methotrexate efficacy, or peristalsis. Nurses administer it prophylactically, educating clients on its protective role, ensuring gastrointestinal safety amid aggressive chemotherapy.
Question 4 of 5
A client with schizophrenia has been taking Thorazine (chlorpromazine) 200 mg four times a day. Which finding should be reported to the doctor immediately?
Correct Answer: C
Rationale: A sore throat on chlorpromazine (Thorazine) may signal agranulocytosis, a rare, life-threatening drop in white cells, requiring immediate physician report urgent in schizophrenia care. Thirst, weight gain, or napping are common but less acute. Nurses flag this, prompting blood counts, ensuring rapid intervention to prevent infection.
Question 5 of 5
The nurse is preparing to administer eye drops to a 4-year-old client. The nurse should:
Correct Answer: B
Rationale: Pulling the lower lid down and instilling drops in the conjunctival sac ensures accurate delivery to a 4-year-old's eye, minimizing trauma prone positioning, high dropper, or dry wiping risks injury or inefficacy. Nurses use this, calming the child, ensuring medication (e.g., antibiotic) reaches the target safely.