ATI LPN
Nursing Fundamental Physical Assessment LPN Questions
Question 1 of 5
A client is sent to the psychiatric unit for forensic evaluation after he is accused of arson. His tentative diagnosis is antisocial personality disorder. In reviewing the client's record, the nurse could expect to find:
Correct Answer: C
Rationale: Antisocial personality disorder often manifests with a history of cruelty to animals, a behavioral marker reflecting disregard for others' rights, common in childhood conduct issues progressing to this diagnosis. Consistent employment contradicts the impulsivity and irresponsibility typical of the disorder, while intelligence varies and isn't characteristically low. Remorse is rare due to limited empathy. Nurses reviewing such records anticipate these patterns to inform care, focusing on safety and behavioral management rather than expecting regret or stability.
Question 2 of 5
The nurse is preparing to give an oral potassium supplement. The nurse should:
Correct Answer: B
Rationale: Giving an oral potassium supplement with 4oz. of juice dilutes its irritating effects on the stomach, reducing nausea or ulcers a standard administration practice. Undiluted doses, water-only, or empty stomach increase GI distress. Nurses use this method, enhancing tolerability, ensuring electrolyte correction without discomfort.
Question 3 of 5
The nurse is preparing a client with myasthenia gravis for a Tensilon test. The nurse should have which of the following equipment available at the bedside?
Correct Answer: C
Rationale: An intubation tray is essential for a Tensilon test in myasthenia gravis, as edrophonium can trigger a cholinergic crisis, worsening weakness and risking respiratory failure oxygen or monitors help but airway readiness is critical. Nurses prepare this, ensuring safety during diagnosis, ready to assist breathing if the test overstimulates acetylcholine.
Question 4 of 5
The nurse is providing care for a client with a newly applied leg cast. To prevent complications with the casted extremity, the nurse should:
Correct Answer: A
Rationale: Checking cast tightness by inserting a finger between cast and skin prevents circulatory compromise in a new leg cast dependent positioning worsens swelling, ice atop the cast is ineffective, and covering delays drying. Nurses assess fit, teaching elevation and monitoring for numbness, ensuring proper healing without vascular issues.
Question 5 of 5
The nurse is caring for a client with a history of diverticulitis. Which finding is associated with an acute episode of diverticulitis?
Correct Answer: A
Rationale: Left lower quadrant pain is a hallmark of acute diverticulitis, reflecting inflammation in the sigmoid colon bright red bleeding suggests diverticulosis bleed, a board-like abdomen indicates perforation (a complication), and fever is less specific. Nurses assess this pain, often cramping, reporting it to guide antibiotics and rest, preventing perforation in this gastrointestinal emergency.