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ATI LPN · Fundamentals of Nursing · Chapter 14 Organizing Patient Care Questions

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

A client is admitted with infective endocarditis (IE). Which finding would alert the nurse to a complication of this condition?

A. dyspnea
B. heart murmur
C. macular rash
D. Hemorrhage

Expert Explanatory Rationale

Correct Answer: dyspnea

Question 2 of 5

A woman comes to the antepartum clinic for a routine prenatal examination. She is 12 weeks pregnant with her second child. Which of the following shows proper documentation of the client's obstetric history by the nurse?

A. Para 2, Gravida 1
B. Nulligravida 2, Para 1
C. Primigravida 1, Para 1
D. Gravida 2, Para 1

Expert Explanatory Rationale

Correct Answer: Gravida 2, Para 1

Question 3 of 5

Restating a person's message back to them in your own words, refers to the act of:

A. Focusing
B. Distracting
C. Paraphrasing
D. Denial

Expert Explanatory Rationale

Correct Answer: Paraphrasing

Question 4 of 5

The nurse is caring for a post-surgical client at risk for developing deep vein thrombosis. Which intervention is an effective preventive measure?

A. Place pillows under the knees
B. Use elastic stockings continuously
C. Encourage range of motion and ambulation
D. Massage the legs twice daily

Expert Explanatory Rationale

Correct Answer: Encourage range of motion and ambulation

Question 5 of 5

A 14 year-old client has viral pneumonia and is receiving acetaminophen (Tylenol) for fever control. Which instruction should the nurse include when teaching the client's parents?

A. Call us if the fever goes above 104 F (40 C)
B. Alternate acetaminophen with ibuprofen every 2 hours
C. Check with the doctor before giving any over-the-counter cold preparations
D. Give acetaminophen every 4 hours for the next 24 hours

Expert Explanatory Rationale

Correct Answer: Check with the doctor before giving any over-the-counter cold preparations

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