ATI LPN
Dewitt Fundamentals Quizlet LPN Pass Medications Questions
Question 1 of 5
Which of the following is inappropriate nursing action when administering NGT feeding?
Correct Answer: A
Rationale: Placing the feeding 20 inches above the nasogastric tube's insertion point is inappropriate, as excessive height causes rapid flow, risking aspiration or gastric distension. Standard practice recommends 12-18 inches for controlled delivery, ensuring patient safety and comfort. Introducing the feeding slowly prevents sudden stomach overload, reducing nausea or reflux correct practice. Instilling 60 ml of water post-feeding clears the tube, maintaining patency and hydration a standard, appropriate step. Assisting the patient into Fowler's position (elevated head) minimizes aspiration risk, aligning with best practice. The excessive height deviates from guidelines, potentially overwhelming the stomach's capacity and compromising digestion or respiratory safety, making it the clear inappropriate action in NGT feeding administration.
Question 2 of 5
A nurse wears a gown when:
Correct Answer: D
Rationale: A nurse wears a gown primarily when the patient's blood or body fluids may contaminate their clothing, adhering to standard precautions for infection control. This protects against pathogens e.g., during wound care or childbirth reducing transmission risk. Poor hygiene might prompt gloves or masks, but gowns target fluid exposure, not general cleanliness. Medication administration rarely involves fluid splash unless invasive (e.g., IV), not routine enough for gowns. AIDS alone doesn't mandate gowns unless fluid exposure is likely precautions are universal, not disease-specific. Fluid contact is the key trigger, as per CDC guidelines, ensuring nurse safety and preventing cross-contamination, making this the most precise scenario for gown use in clinical practice.
Question 3 of 5
A client who is unconscious needs frequent mouth care. When performing mouth care, the best position of a client is:
Correct Answer: B
Rationale: Side-lying prevents aspiration in an unconscious client during mouth care.
Question 4 of 5
A client complains difficulty of swallowing when the nurse tries to administer capsule medication. Which of the following measures should the nurse do?
Correct Answer: C
Rationale: Checking for a liquid form is the safest, least invasive option for dysphagia.
Question 5 of 5
The four main concepts common to nursing that appear in each of the current conceptual models are:
Correct Answer: D
Rationale: Person, environment, health, and nursing are foundational to nursing models.