ATI LPN
Quizlet LPN Fundamentals Questions
Question 1 of 5
Your assigned client, who has been talking with the doctor about pain control, later asks you what the doctor meant by 'pain threshold.' Which of the following would be the best reply?
Correct Answer: D
Rationale: Pain threshold is the stimulation level causing pain, distinct from relief, tolerance, or averages. Nurses clarify this for client understanding.
Question 2 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 3 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 4 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 5 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.