ATI LPN
LPN Nursing Fundamentals Quizlet Questions
Question 1 of 5
Which nursing intervention is important for preventing falls during patient transfers?
Correct Answer: A
Rationale: Providing clear instructions and explanations helps prevent falls during transfers by ensuring patients understand and cooperate with the process, enhancing safety. One caregiver or rapid transfers risks instability, and skipping devices undermines support. Nurses use this to empower patients, reducing confusion-related mishaps, a proactive step in maintaining stability and preventing injuries during vulnerable movements.
Question 2 of 5
The nurse is caring for a client following removal of the thyroid. Immediately post-op, the nurse should:
Correct Answer: A
Rationale: Post-thyroidectomy, a semi-Fowler's position (head elevated 30-45 degrees) with neck support reduces swelling and tension on the surgical site, minimizing complications like bleeding or airway obstruction. Turning the head side to side risks incision strain, while a supine position with sandbags could increase edema or discomfort without aiding breathing. Coughing with a flexed neck might stress the suture line, potentially causing dehiscence. Nurses prioritize this position to promote comfort, protect the airway, and monitor for signs like stridor, ensuring a safe recovery trajectory immediately after surgery.
Question 3 of 5
Which instruction should be included in the discharge teaching for the client with cataract surgery?
Correct Answer: B
Rationale: Wearing an eye shield at night post-cataract surgery protects the operated eye from accidental rubbing or pressure, promoting healing a standard discharge instruction. OTC drops risk irritation, special glasses aren't always needed with modern lenses, and pain is typically minimal. Nurses teach this to safeguard recovery, ensuring clients understand its protective role.
Question 4 of 5
A client with glomerulonephritis is admitted to the unit. Which task is most suitable to delegate to the nursing assistant?
Correct Answer: C
Rationale: Measuring intake and output is suitable for a nursing assistant in glomerulonephritis care, a routine task tracking fluid balance, within their scope under RN supervision. Weighing, evaluating diuretics, or hair washing involve assessment or less priority. Nurses delegate this to optimize workflow, ensuring accurate data for fluid management critical in renal conditions.
Question 5 of 5
The physician has ordered intravenous chemotherapy for a client with colon cancer. Which task can be delegated to the licensed vocational nurse (LVN)?
Correct Answer: B
Rationale: Hanging the chemotherapy solution is within an LVN's scope, a technical task post-RN preparation, assuming the IV is established unlike insertion, monitoring reactions, or teaching, which require RN assessment skills. Nurses delegate this to optimize care, ensuring safe delivery while reserving complex duties for RN oversight in cancer treatment.