ATI Fundamentals LPN

ATI Fundamentals LPN Related

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The nurse questions a doctors order of Morphine sulfate 50 mg, IM for a client with pancreatitis. Which role best fit that statement?

  • A. Change agent
  • B. Client advocate
  • C. Case manager
  • D. Collaborator
Correct Answer: B

Rationale: Questioning a morphine order for pancreatitis exemplifies the client advocate role, where nurses safeguard patient well-being. Morphine can worsen pancreatitis by causing sphincter of Oddi spasm, unlike safer options like meperidine. By challenging this, the nurse protects the client from harm, a duty rooted in ethical codes like the ANA's. Change agents modify behaviors, case managers coordinate, and collaborators work jointly, but advocacy uniquely prioritizes patient safety over compliance. In practice, this might involve consulting the doctor for an alternative, ensuring care aligns with the patient's best interest, a critical nursing responsibility.

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Which of the following statement best describe collaboration in nursing?

  • A. Working alone
  • B. Working with others for care
  • C. A competitive task
  • D. A one-time event
Correct Answer: B

Rationale: Collaboration is working with others for care (B), per nursing e.g., team goals. Not alone (A), not competitive (C), not one-time (D) joint effort. B best defines collaboration's teamwork, making it correct.

Which of the following nursing intervention is needed before teaching a client post spleenectomy deep breathing and coughing exercises?

  • A. Tell the patient that deep breathing and coughing exercises is needed to promote good breathing, circulation and prevent complication
  • B. Tell the client that deep breathing and coughing exercises is needed to prevent Thrombophlebitis, hydrostatic pneumonia and atelectasis
  • C. Medicate client for pain
  • D. Tell client that cooperation is vital to improve recovery
Correct Answer: C

Rationale: Medicating for pain (C) is needed before teaching post-splenectomy exercises; pain hinders participation, per nursing care. General benefits (A), specific risks (B), and cooperation (D) follow pain control. C ensures effective learning, making it correct.

The nurse cares for 4 clients. Which activity demonstrates the nurse's understanding of how ethnicity influences the client's health?

  • A. Provide financial resources from local organizations to pay for a client's health care needs.
  • B. Teach a client using drawings, repetition, short sentences, and simple language.
  • C. Assess a 5-month-old African American client for sickle cell anemia.
  • D. Explain the consequences of not exercising and only eating fast food due to a stressful job.
Correct Answer: C

Rationale: Ethnicity influences health through genetic predispositions and cultural factors. Assessing a 5-month-old African American client for sickle cell anemia (C) reflects this, as the disease is prevalent in African descent populations due to a genetic mutation. Providing financial resources (A) addresses access, not ethnicity-specific health. Teaching with simple methods (B) aids comprehension but isn't ethnicity-tied. Diet and exercise advice (D) is general, not ethnic-specific. C is correct. Rationale: Sickle cell anemia's higher incidence in African Americans requires early screening to prevent complications like vaso-occlusive crises, showcasing culturally competent care rooted in genetic epidemiology, unlike the other options.

Which of the following statement best describe quality improvement?

  • A. A one-time fix
  • B. Ongoing effort to enhance care
  • C. A punishment for errors
  • D. A financial strategy
Correct Answer: B

Rationale: Quality improvement is an ongoing effort to enhance care (B), per QI models e.g., PDSA cycles. Not one-time (A), not punishment (C), not just finance (D) continuous. B best defines QI's iterative nature, making it correct.

1 cup is equal to how many ounces?

  • A. 8
  • B. 80
  • C. 800
  • D. 8000
Correct Answer: A

Rationale: One cup is standardized as 8 fluid ounces.

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