ATI LPN Med Surg Test 1 jj Custom

Extract:

Question 1 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 2 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 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 nurse is assisting with the admission of a client to an acute mental health unit following a suicide attempt. The client has a history of depression, substance abuse, and anorexia nervosa. Which of the following actions should the nurse take first?

A. Administer the Hamilton depression scale.B. Make a contract with the client for weight gain.C. Review the client's toxicology laboratory report.D. Initiate one-to-one nursing observation.

Correct Answer: D

Rationale: One-to-one observation prioritizes safety for a client at risk of self-harm post-suicide attempt.

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