ATI LPN
LPN Fundamentals Exam Questions
Question 1 of 5
A 3-year-old is immobilized in a hip spica cast. Which discharge instruction should be given to the parents?
Correct Answer: D
Rationale: Avoiding dolls or small toys prevents them from lodging in the spica cast, reducing skin irritation or infection risks for a 3-year-old a practical discharge tip. Flat beds, coloring books, or calorie boosts are less critical or unrelated to cast care. Nurses stress this to maintain cast integrity, ensuring safe immobilization for hip healing.
Question 2 of 5
The nurse is caring for a client with laryngeal cancer. Which finding ascertained in the health history would be a contributing factor to the development of his cancer?
Correct Answer: C
Rationale: Cigarette smoking is a major risk factor for laryngeal cancer, as carcinogens in tobacco directly irritate the laryngeal mucosa, leading to cellular changes over time unlike a vegetarian diet, low alcohol, or exercise, which lack this link. Nurses assess smoking history (pack-years) to identify causation, educating clients on cessation to reduce recurrence or progression risks, critical in oncology care planning.
Question 3 of 5
The nurse is assisting with the delivery of a client with abruptio placenta. Following delivery, the nurse should give priority to:
Correct Answer: A
Rationale: Checking uterine firmness post-abruptio placenta delivery prevents postpartum hemorrhage, a priority Apgar, IV, and oxygen follow maternal stabilization. Nurses massage the fundus, monitoring bleeding, critical for maternal survival in this obstetric emergency.
Question 4 of 5
The diagnostic work-up of a client hospitalized with complaints of progressive weakness and fatigue confirms a diagnosis of myasthenia gravis. The medication used to treat myasthenia gravis is:
Correct Answer: A
Rationale: Prostigmin (neostigmine), a cholinesterase inhibitor, treats myasthenia gravis by enhancing neuromuscular transmission atropine counters side effects, Didronel is for bones, and Tensilon is diagnostic. Nurses administer it, monitoring for cholinergic crisis, key for symptom relief.
Question 5 of 5
The nurse is providing care for a client with a newly applied long leg cast. Which action will help prevent complications with the casted extremity?
Correct Answer: D
Rationale: Inserting a finger between cast and skin checks circulation, preventing neurovascular issues in a new long leg cast dependent position increases swelling, warmth checks are vague, and ice atop is ineffective. Nurses monitor fit, teaching elevation, ensuring healing without complications.