ATI LPN Med Surg Test 1 jj Custom

Extract:

Question 1 of 5

A nurse is caring for a client who is at the end of life and is unresponsive. Which of the following actions should the nurse take?

A. Avoid touching the client.B. Continue to talk to the client as if they are awake.C. Limit the client's visitors to one at a time.D. Whisper when talking in the client's room.

Correct Answer: B

Rationale: Talking to the client provides comfort, as hearing may persist.

Question 2 of 5

A nurse is caring for a client who has hypertension and recently developed drooping facial features. When contacting the provider, which of the following statements should the nurse include as part of the background component of the SBAR communication tool?

A. The client has developed drooping facial features.B. The client may benefit from a neurology consult.C. The client is disoriented and pupils are slow to respond to light.D. The client has a history of hypertension.

Correct Answer: D

Rationale: Background includes the client's medical history, like hypertension.

Question 3 of 5

A nurse is discussing the reporting of child abuse with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

A. Reporting is voluntary for health care workers.B. Civil liability can result if the abuse can't be proven.C. Evidence of abuse must be collected prior to reporting.D. If suspicion of abuse exists then reporting is mandatory.

Correct Answer: D

Rationale: Mandatory reporting of suspected abuse is a legal obligation for healthcare workers.

Question 4 of 5

A nurse is caring for a client who is at the end of life and is experiencing dyspnea. Which of the following actions should the nurse take?

A. Place the head of the client's bed flat.B. Perform nasotracheal suctioning for the client.C. Increase the heat in the client's room.D. Administer an opioid narcotic to the client.

Correct Answer: D

Rationale: Opioids like morphine relieve dyspnea by reducing breathlessness in end-of-life care.

Question 5 of 5

A nurse is discussing the process of evidence-based practice (EBP) with a newly licensed nurse. Which of the following statements made by the newly licensed nurse indicates an understanding of the process?

A. Reliance on personal experiences is important to the process of EBP.B. Identifying the problem is the first step of the EBP process.C. Reviewing the effectiveness of the findings is the last step of the EBP process.D. There are four steps in the process of EBP.

Correct Answer: B

Rationale: Identifying the problem initiates the EBP process.

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