ATI LPN
LPN Fundamentals of Nursing Course Questions
Question 1 of 5
When assessing the urinary output of a client who has had extracorporeal lithotripsy, the nurse can expect to find:
Correct Answer: A
Rationale: Cherry-red urine clearing over time is expected post-extracorporeal lithotripsy, reflecting initial hematuria from stone fragmentation, then resolution as bleeding subsides a normal progression. Orange tinge, persistent dark red, or smoky urine suggest other issues. Nurses monitor this to confirm procedure success, reassuring clients while watching for prolonged bleeding or infection.
Question 2 of 5
Which of the following is TRUE about the auscultation of blood pressure?
Correct Answer: B
Rationale: The stethoscope bell auscultates low-frequency Korotkoff sounds e.g., tapping in BP unlike the diaphragm (high-frequency). Pulse +4 (bounding), +1 (weak), and sound pitch (low) differ. Nurses use this e.g., bell placement for clear readings, per auscultation technique.
Question 3 of 5
Which characteristic of nursing process is responsible for proper utilization of human resources, time and cost resources?
Correct Answer: C
Rationale: Efficiency (
C) in the nursing process ensures proper use of resources time, staff, costs per management principles. Organized/systematic (
A) structures, humanistic (
B) cares, effective (
D) achieves goals. C targets resource optimization, making it correct.
Question 4 of 5
The nurse is caring for a client with a history of CHF who complains of difficulty breathing when lying flat. The nurse documents this finding as:
Correct Answer: A
Rationale: Orthopnea, dyspnea when lying flat, is common in CHF due to fluid redistribution paroxysmal nocturnal dyspnea is sudden at night, exertion dyspnea is activity-related, and platypnea is rare. Nurses note this, adjusting position, aiding comfort in heart failure management.
Question 5 of 5
A client is at risk for increased intracranial pressure (ICP). Which assessment finding reflects an increase in ICP?
Correct Answer: A
Rationale: Unequal pupil size (
A) reflects increased ICP, indicating brain compression affecting cranial nerves. Decreasing BP (
B) is late. Tachycardia (
C) isn't specific. Temperature drop (
D) isn't typical. A is correct.
Rationale: Pupil asymmetry signals herniation or pressure on the oculomotor nerve, a critical ICP sign, per neuroassessment standards.