ATI LPN
LPN Nursing 1 Fundamental Exam Questions
Extract:
A client with a large abdominal wound
Question 1 of 5
The nurse knows to cleanse the wound from the inner to outer area. What is the rationale for cleaning the wound in this manner?
Correct Answer: A
Rationale: Cleaning from the inner to outer area prevents introducing microorganisms from the surrounding skin into the wound, reducing infection risk.
Extract:
The nurse is assessing the hands of a client and notes bony enlargements of the client's joints, joints are hard, painless, and some of the fingers are deviated from the midline
Question 2 of 5
The nurse suspects these findings are a result of which of the following?
Correct Answer: D
Rationale: Rheumatoid Arthritis is a chronic autoimmune disorder characterized by inflammation of the synovium, leading to joint deformities, bony enlargements, and deviation of fingers.
Extract:
At 1930 the nurse notes that the client has rapid, more labored respirations with frequent coughing that is producing thick tenacious secretions. The client is alert and oriented and able to speak, between coughing episodes. She states that the last time she had this much coughing, the respiratory therapist (RT) gave her a nebulizer treatment, which 'helped a lot.'
Question 3 of 5
What nursing actions would the nurse implement at this time in coordination with the registered nurse (RN)? Select all that apply.
Correct Answer: B, D, E, F
Rationale: Obtaining vital signs (
B), positioning in high-Fowler (
D), increasing oxygen flow (E), calling for a nebulizer treatment (F), documenting (H), and listening to breath sounds (J) address the client's respiratory distress and monitor status effectively.
Extract:
A client had a right knee replaced 4 days ago and returns with an elevated temperature for the past 24 hours
Question 4 of 5
Which assessment would the nurse prioritize?
Correct Answer: C
Rationale: Elevated temperature after knee replacement surgery could indicate a potential infection, such as pneumonia, so assessing lung sounds for signs of infection is a priority.
Extract:
A client with a new incision experiencing some inflammation
Question 5 of 5
What is the ultimate purpose of the inflammatory process in preparation for healing?
Correct Answer: C
Rationale: The inflammatory process localizes, destroys, and removes injurious agents like pathogens, preparing the wound for healing.