ATI Fundamentals LPN

ATI Fundamentals LPN Related

Review ATI Fundamentals LPN related questions and content

Which one of the following is the commonest side effects of copper-T :

  • A. Pain
  • B. Bleeding
  • C. Perforation
  • D. Ectopic pregnancy
Correct Answer: B

Rationale: Copper-T, an intrauterine device (IUD), has known side effects, with bleeding being the most frequent. Pain (choice A) occurs, especially during insertion or cramping, but it's typically transient. Bleeding (choice B), including heavier periods or spotting, affects most users due to copper's inflammatory effect on the endometrium, often leading to discontinuation. Perforation (choice C) is rare, occurring in <1/1000 insertions, and ectopic pregnancy (choice D) is a serious but uncommon risk, as IUDs primarily prevent intrauterine implantation. B is correct, as clinical data consistently show bleeding as the commonest complaint. Nurses must educate patients on expected bleeding patterns, monitor for anemia, and assess when intervention (e.g., removal) is needed, ensuring informed use of this contraceptive method.

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The nurse gave the wrong medication to Mr. Gary that lead to his cardiac arrest. This is an example of?

  • A. Malpractice
  • B. Negligence
  • C. Assault
  • D. Battery
Correct Answer: A

Rationale: Wrong medication causing cardiac arrest is malpractice (A) breach of nursing standards, per tort law. Negligence (B) is broader, assault (C) intent-based, battery (D) touch-based. A's professional error fits, making it correct.

The physician has discussed the need for medication with the parents of an infant with congenital hypothyroidism. The nurse can reinforce the physician's teaching by telling the parents that:

  • A. The medication will be needed only during times of rapid growth
  • B. The medication will be needed throughout the child's lifetime
  • C. The medication schedule can be arranged to allow for drug holidays
  • D. The medication is given one time daily every other day
Correct Answer: B

Rationale: Lifetime thyroid hormone replacement is needed for congenital hypothyroidism to prevent developmental delays growth spurts, holidays, or alternate days don't suffice. Nurses reinforce this, ensuring adherence, critical for normal growth in this endocrine disorder.

The nurse recorded Mr. Gary's vitals in his chart. This is an example of?

  • A. Documentation
  • B. Standard precautions
  • C. Health policy
  • D. Patient education
Correct Answer: A

Rationale: Recording vitals is documentation (A) care record, per definition. Precautions (B) safety, policy (C) rules, education (D) teaching not record-specific. A fits the nurse's accurate logging for Mr. Gary, making it correct.

The nurse working in the community is assigned to the care of several clients. Which client(s) may require assistance to overcome barriers to accessing adequate care?

  • A. A student entering a local university
  • B. A client who is a migrant and works on a farm
  • C. An older adult client living independently
  • D. A client who has been unemployed for 6 months
Correct Answer: B

Rationale: Barriers to healthcare access often hit vulnerable groups hardest, requiring nursing intervention. A migrant farm worker faces language, mobility, and economic hurdles, limiting care access e.g., no insurance or transport. An older adult living alone may struggle with mobility, health literacy, or isolation, delaying treatment. An unemployed client, lacking income or coverage, often skips care due to cost, risking worsening conditions. A student entering university or an employed pregnant client typically has fewer systemic barriers students may access campus health, employed clients insurance. Nursing must target the migrant, elderly, and jobless, addressing disparities poverty, age, ethnicity ensuring equitable care. This reflects nursing's equity mission, bridging gaps for those society sidelines, enhancing health outcomes through advocacy and resource linkage.

How should the nurse prepare an injection for a patient who takes both regular and NPH insulin?

  • A. Draw up the NPH insulin, then the regular insulin, in the same syringe
  • B. Draw up the regular insulin, then the NPH insulin, in the same syringe
  • C. Use two separate syringes
  • D. Check with the physician
Correct Answer: B

Rationale: Regular (clear) is drawn first, then NPH (cloudy), to avoid contamination.

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