ATI LPN Med Surg Test 1 jj Custom

Extract:

Question 1 of 5

A nurse is reinforcing teaching with a newly licensed nurse regarding sources of medication information. Which of the following resources should the nurse include as reliable references for the nurse to use to evaluate medication information?

A. Pharmaceutical sales representativesB. Published journalsC. PharmacistsD. InternetE. Physicians Desk Reference

Correct Answer: B,C,E

Rationale: Journals, pharmacists, and the PDR provide evidence-based medication information.

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?

A. A preschooler who has a BMI indicating obesityB. A school-age child who cries when the nurse is giving him an injectionC. An adolescent who asks to stay in the hospital because he likes the roomD. A toddler who has multiple bruises on the shins of both legs and his parents report that he is clumsy

Correct Answer: C

Rationale: Wanting to stay in the hospital may suggest an unsafe home environment, warranting investigation.

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 charge nurse is discussing evidence-based practice (EBP) and the hierarchy of evidence with a newly licensed nurse. Which of the following examples should the nurse provide when discussing Level I evidence?

A. Expert opinionsB. Systematic reviewC. Credible websitesD. Qualitative studies

Correct Answer: B

Rationale: Systematic reviews are Level I evidence due to their rigorous synthesis of studies.

Question 5 of 5

A home health nurse is conducting a home-safety risk appraisal for an older adult client. Which of the following findings should the nurse identify as a safety risk for the client?

A. Bathtub with railsB. Raised toilet seatsC. Electric cords behind furnitureD. Water heater temperature 54.4°C (130° F)E. Throw rugs

Correct Answer: C,D,E

Rationale: Cords, high water temperature, and throw rugs pose tripping and scalding risks.

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