ATI LPN Med Surg Test 1 jj Custom

Extract:

Question 1 of 5

A nurse is planning to use research and scientific data to improve client care. Which of the following processes is the nurse planning to use?

A. StandardizationB. Root cause analysisC. BenchmarkingD. Evidence-based practice

Correct Answer: D

Rationale: Evidence-based practice integrates research to improve client care.

Question 2 of 5

A nurse is preparing to administer amoxicillin 300 mg PO. The amount available is amoxicillin oral solution 250 mg/5 mL. How many mL should the nurse administer? (Round the answer to the nearest tenth/whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer: 6 mL

Rationale: Calculation: (300 mg ÷ 250 mg) × 5 mL = 6 mL.

Question 3 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?

A. We use an automated dispensing device to track the use of controlled substances.B. You are required to have a second nurse witness disposal of a controlled substance.C. If a client refuses a medication, you can place it in your pocket to administer later.D. Activities of the automated dispensing machine will be reviewed periodically.E. We count the amount of a controlled substance available before removal from a medication drawer.

Correct Answer: A,B,D,E

Rationale: Automated dispensing devices, witnessed disposal, periodic reviews, and counting substances are standard measures to prevent diversion. Pocketing medication is unsafe and increases diversion risk.

Question 4 of 5

A nurse is reinforcing teaching about delegation with a newly licensed nurse. Which of the following statements if made by the newly licensed nurse indicates understanding?

A. There are 4 rights of delegation.B. The nurse manager is responsible for delegating nursing tasks during each shift.C. It is the duty of the delegatee to perform a task without asking questions when it is delegated.D. I am responsible for ensuring that a delegated task is completed.

Correct Answer: D

Rationale: The delegating nurse is responsible for ensuring task completion, reflecting accountability in delegation.

Question 5 of 5

A nurse is caring for four clients at an urgent care center. Which of the following clients should the nurse suspect has been physically abused?

A. A 6-year-old child who has a spiral fracture of the tibia and fibula, which reportedly occurred while riding a bicycleB. A 14-month-old toddler who is reportedly learning to walk and has several bruises on bony prominences of the lower legs and elbows.C. A 9-month-old infant who sustained near drowning when he reportedly climbed into the tub and turned on the waterD. A 3-year-old toddler with scalding burns over the face and chest reportedly sustained when the child pulled on tablecloth, spilling a cup of tea on himself.

Correct Answer: D

Rationale: Scalding burns on the face and chest are inconsistent with a minor tea spill, raising abuse concerns.

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