ATI LPN
LPN Fundamentals of Nursing
1. What is the primary purpose of therapeutic communication in healthcare?
- A. To gather client information.
- B. To provide client education.
- C. To establish a therapeutic relationship.
- D. To document client care.
Correct answer: C
Rationale: The primary purpose of therapeutic communication in healthcare is to establish a therapeutic relationship between the healthcare provider and the client. Through effective communication, trust, empathy, and understanding can be fostered, which are essential for providing quality care and promoting positive health outcomes. Building a therapeutic relationship enhances patient satisfaction, improves adherence to treatment plans, and increases the likelihood of successful health outcomes.
2. A client has a new prescription for digoxin, and a nurse is providing teaching. Which of the following client statements indicates an understanding of the teaching?
- A. I will take my pulse before taking this medication.
- B. I will take this medication with an antacid.
- C. I will double the dose if I miss one.
- D. I will avoid eating bananas.
Correct answer: A
Rationale: The correct answer is A because taking the pulse before administering digoxin is crucial as the medication can cause bradycardia. Monitoring the pulse helps in identifying any signs of bradycardia, a common side effect of digoxin. Options B, C, and D are incorrect. Taking digoxin with an antacid may interfere with its absorption. Doubling the dose if a dose is missed can lead to overdose and adverse effects. Avoiding bananas is not specifically related to digoxin therapy.
3. In a study on the factors contributing to the high mortality rate due to heart diseases in the municipality, which branch of epidemiology is being practiced?
- A. Descriptive
- B. Analytical
- C. Therapeutic
- D. Evaluation
Correct answer: B
Rationale: Analytical epidemiology focuses on studying factors or determinants that affect the patterns of disease occurrence and distribution in a community. In this scenario, the nurse is analyzing various factors contributing to the high mortality rate due to heart diseases, which aligns with the principles of analytical epidemiology.
4. The percentage of the total daily caloric intake for healthy persons that should be supplied by carbohydrate is:
- A. 10% to 35%.
- B. 20% to 35%.
- C. 40% to 55%.
- D. 45% to 65%.
Correct answer: D
Rationale: The correct answer is D: 45% to 65%. Carbohydrates should contribute between 45% to 65% of the total daily caloric intake for healthy individuals to maintain a balanced diet. Choices A, B, and C are incorrect because they suggest lower ranges, which may not provide sufficient energy from carbohydrates for overall health and well-being.
5. A nurse in a provider’s office is interviewing a client who is requesting an oral contraceptive. Which of the following findings in the client’s history is a contraindication to the use of combination oral contraceptives?
- A. Thyroid disease
- B. Allergy to penicillin
- C. Impaired liver function
- D. Abnormal blood glucose
Correct answer: C
Rationale: Impaired liver function is a contraindication to combination oral contraceptives. The liver metabolizes hormones, and any impairment can affect the metabolism of hormones, potentially leading to imbalances or toxicity. Thyroid disease, allergy to penicillin, and abnormal blood glucose levels are not contraindications to combination oral contraceptives.
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