ATI LPN
LPN Fundamentals of Nursing Course Questions
Question 1 of 5
A client asks which of the vitamins can be stored in the body. Which of the following answers by the nurse would be correct?
Correct Answer: D
Rationale: Vitamin D is fat-soluble and stored, unlike water-soluble C, B1, or biotin. Nurses educate on this for supplementation risks.
Question 2 of 5
A client with pneumonia requires oxygen therapy. Which oxygen delivery system would be most appropriate for this client to improve oxygenation and reduce the work of breathing?
Correct Answer: C
Rationale: High-flow nasal cannula (C) is ideal for pneumonia, providing humidified oxygen up to 60 L/min, improving oxygenation and reducing breathing effort. Simple mask (A) offers less precision (40-60%). Partial rebreather (B) impedes secretion clearance. Transtracheal (D) is invasive, not typical. High-flow supports acute needs, per respiratory care, enhancing comfort and efficacy.
Question 3 of 5
A client hospitalized with severe depression and suicidal ideation refuses to talk with the nurse. The nurse recognizes that the suicidal client has difficulty:
Correct Answer: D
Rationale: Clients with severe depression and suicidal ideation often struggle to express anger outwardly due to internalized emotions, a common psychological barrier in this condition. Depression can suppress verbal communication, particularly about intense feelings like anger, which may be directed inward, heightening suicidal risk. Low self-worth is a symptom they might feel but not the primary difficulty in expression. Remorse or guilt may be present, yet these are less tied to communication challenges than suppressed anger. Dependence on others might occur but isn't the core issue here. Nurses must recognize this pattern to address underlying emotions safely, using therapeutic techniques to encourage expression, reducing isolation and risk.
Question 4 of 5
Which information should be given to the client taking phenytoin (Dilantin)?
Correct Answer: C
Rationale: Phenytoin causes gingival hyperplasia, necessitating more frequent dental visits for gum care to prevent overgrowth and infection a key teaching point for clients. Meals don't enhance efficacy, sleep issues aren't prominent, and it doesn't reduce contraceptive effects significantly. Nurses emphasize oral hygiene, ensuring clients maintain health while managing seizures.
Question 5 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.