ATI LPN
Dewitt Fundamentals Quizlet LPN Pass Medications Questions
Question 1 of 5
Which suggestion(s) will the supervisor prioritize as a potential solution in tackling this situation [nursing shortage]?
Correct Answer: A
Rationale: A nursing supervisor tackling a shortage must prioritize solutions that enhance retention and expand the workforce effectively. Improving the salary scale directly addresses financial incentives, making nursing more competitive with other fields and encouraging retention and recruitment. Providing refresher training for inactive nurses reintroduces skilled professionals, quickly bolstering staff numbers without lengthy training periods. Decreasing mandatory overtime hours reduces burnout, a key retention factor, by improving work-life balance. Expanding nursing staff, while ideal, is a broader goal requiring these actionable steps. Increasing UAP standards might shift tasks but doesn't address the core shortage of licensed nurses. These prioritized reforms better pay, retraining, and reduced overtime target root causes like stress and attrition, proven to sustain staffing levels and ensure safe, quality care amidst ongoing shortages.
Question 2 of 5
A client has had a total knee replacement and is receiving care that includes learning to walk with a walker. What level of prevention is applicable to this intervention?
Correct Answer: C
Rationale: Teaching a client to walk with a walker after a total knee replacement is tertiary prevention, focusing on rehabilitation post-diagnosis and treatment. It aims to restore function here, mobility and prevent complications like falls or joint stiffness, maximizing recovery. Primary prevention, like exercise to avoid arthritis, preempts illness. Secondary prevention screens early, such as X-rays detecting joint wear, not applicable post-surgery. 'Chronic prevention' isn't a level. Tertiary care, vital in nursing, supports adaptation to new realities like using assistive devices reducing disability's impact. Studies show such interventions cut rehospitalization by enhancing independence, aligning with nursing's goal to optimize health after significant interventions, ensuring clients regain quality of life.
Question 3 of 5
A nurse is admitting a client with a history of hypertension to a medical unit and finds the client's blood pressure to be 200/110 mmHg. Which intervention reflects secondary prevention?
Correct Answer: B
Rationale: Secondary prevention detects disease early to curb progression, apt for a hypertensive client. Measuring blood pressure finding 200/110 mmHg identifies a spike in a known condition, enabling swift action like medication tweaks to prevent stroke or heart damage, a nursing priority on admission. Teaching a low-sodium diet or exercise is primary or tertiary, preventing onset or managing long-term, not detecting. Referring to a specialist is tertiary, escalating care post-detection. Blood pressure checks align with secondary's focus routine monitoring catches crises early, critical since hypertension's often silent. This intervention ensures timely response, leveraging nursing's assessment skills to safeguard the client from complications, a key step in acute settings.
Question 4 of 5
Complete the diagram by dragging from the choices below to specify which potential condition the client is most likely experiencing; 2 actions the nurse takes to address that condition, and 2 parameters the nurse monitors to avoid complications/check the client's progress.
Correct Answer: B
Rationale: Without full context, physiologic jaundice (B) is common in newborns, peaking at 3-5 days due to immature liver function. Actions: Offer formula supplementation, monitor intake/output. Parameters: Serum bilirubin, temperature. B is correct. Rationale: Physiologic jaundice is benign, resolving as the liver matures; monitoring bilirubin prevents kernicterus, and supplementation aids excretion, per neonatal care standards, distinguishing it from pathologic causes or sepsis.
Question 5 of 5
A client with no history of respiratory disease is admitted to the hospital with respiratory failure. The nurse reviews the arterial blood gas reports for which results that are consistent with this disorder?
Correct Answer: C
Rationale: Respiratory failure features low Pao2 (<60 mm Hg) and/or high Paco2 (>50 mm Hg). Option C (Pao2 49, Paco2 52) shows hypoxemia and hypercapnia, consistent with failure. A and B are borderline. D has high Paco2 but normal Pao2. C is correct. Rationale: Both parameters in C indicate impaired gas exchange, a hallmark of respiratory failure per critical care criteria.