ATI LPN
Nursing Fundamentals Exam for LPN Questions
Question 1 of 5
A client hospitalized with chronic dyspepsia is diagnosed with gastric cancer. Which of the following is associated with an increased incidence of gastric cancer?
Correct Answer: D
Rationale: Luncheon meats, high in nitrates and preservatives, are linked to gastric cancer due to their conversion into carcinogenic nitrosamines in the stomach, a risk factor supported by dietary studies. Dairy, carbonated drinks, and refined sugars may contribute to other health issues but lack a strong direct association with gastric cancer. Processed meats' chemical content irritates gastric mucosa over time, increasing malignancy risk. Nurses use this knowledge for dietary counseling, helping clients reduce exposure to such risk factors, enhancing prevention strategies alongside treatment for existing conditions.
Question 2 of 5
The physician has ordered a blood test for H. pylori. The nurse should prepare the client by:
Correct Answer: B
Rationale: No special preparation is needed for an H. pylori blood test (serology), detecting antibodies without fasting or isotopes unlike urea breath tests. Nurses convey this simplicity, reducing client anxiety, ensuring compliance with this diagnostic step for ulcer-related conditions.
Question 3 of 5
The nurse is caring for a client with a leaking cerebral aneurysm. Which finding should be reported to the physician immediately?
Correct Answer: A
Rationale: A blood pressure of 210/100 in a leaking cerebral aneurysm is a hypertensive crisis, risking re-bleed or extension, requiring immediate physician report normal pupils, no pain, or adequate urine don't signal this urgency. Nurses act swiftly, as uncontrolled pressure threatens brain damage, prompting rapid antihypertensive intervention.
Question 4 of 5
The physician has ordered a culture and sensitivity on a client with a suspected wound infection. The nurse should:
Correct Answer: A
Rationale: Obtaining the culture before antibiotics ensures accurate identification of the causative organism in a suspected wound infection cleansing with Betadine or prioritizing sensitivity first skews results, and stat requests don't alter sequence. Nurses swab correctly, preserving pathogen viability, aiding effective treatment and preventing resistance in wound care.
Question 5 of 5
The nurse is providing dietary teaching for a client with hypertension. To reduce sodium intake, the nurse should instruct the client to avoid:
Correct Answer: B
Rationale: Canned soups are high in sodium, worsening hypertension fresh fruits, steamed vegetables, and broiled meats are low-sodium options. Nurses teach label reading, reducing cardiovascular strain, supporting blood pressure control in dietary management.