ATI LPN
ATI LPN Med Surg Midterm Questions
Extract:
Question 1 of 5
A newly hired nurse asks a charge nurse what safety measures are in place to prevent diversion of controlled substances on the unit. Which of the following statements should the charge nurse make? (Select All that Apply)
Correct Answer: B,C,D
Rationale: Using automated dispensing devices (
B), periodic reviews (
C), and counting substances (
D) prevent diversion. Pocketing refused medication is unsafe, but witnessing disposal is correct.
Question 2 of 5
A nurse on a medical-surgical unit is caring for a group of children. Which of the following findings should alert the nurse that one of the children is a potential victim of abuse?
Correct Answer: A
Rationale: An adolescent wanting to stay in the hospital may indicate an unsafe home environment, suggesting possible abuse. Bruises on a toddler's shins, crying during injections, and obesity are not typically abuse indicators.
Question 3 of 5
A nurse is assisting with the care of a client who is receiving heparin via continuous IV infusion. Which of the following laboratory values should the nurse monitor?
Correct Answer: B
Rationale: Heparin's anticoagulant effect is monitored using aPTT to ensure therapeutic levels and prevent bleeding. PT and INR are used for warfarin, and platelet count is monitored for heparin-induced thrombocytopenia.
Question 4 of 5
A nurse is assisting with teaching a class about the effects of spirituality for clients who are near the end of life. Which of the following information should the nurse include?
Correct Answer: D
Rationale: Spirituality often enhances the quality of life near the end of life by providing peace, comfort, and meaning, rather than increasing hopelessness, depression, or the desire to hasten death.
Question 5 of 5
A nurse is reinforcing teaching with a client who uses a nitroglycerine patch to treat angina. The client now has a new prescription for nitroglycerin sublingual tablets. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: Taking sublingual nitroglycerin at the first sign of chest pain provides rapid relief. Swallowing, improper storage, or removing the patch are incorrect.