ATI LPN
Quizlet LPN Fundamentals Questions
Question 1 of 5
Which statement by a client on oxygen therapy indicates the need for further education?
Correct Answer: B
Rationale: Securing tubing under furniture legs (B) indicates a need for education, as it risks kinking or disconnection, disrupting oxygen flow and posing a safety hazard. Avoiding smoking (A) and flames (C) are correct safety measures. Water-based moisturizer (D) is appropriate. Proper tubing management education, per safety standards, prevents accidents.
Question 2 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 3 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 4 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.
Question 5 of 5
The nurse is assisting with the delivery of a newborn. Immediately following the delivery, the nurse should give priority to:
Correct Answer: A
Rationale: Drying and wrapping the newborn prevents hypothermia, a priority post-delivery oxygen, vital signs, and vitamin K follow stabilization. Nurses act swiftly, ensuring thermoregulation, supporting transition to extrauterine life in the critical first minutes.