ATI LPN
LPN Fundamentals of Nursing Test Questions
Question 1 of 5
A client receiving chemotherapy for breast cancer has an order for Zofran (ondansetron) 8mg PO to be given 30 minutes before induction of the chemotherapy. The purpose of the medication is to:
Correct Answer: C
Rationale: Zofran (ondansetron), a 5-HT3 antagonist, prevents nausea pre-chemotherapy for breast cancer, blocking serotonin-mediated vomiting a standard antiemetic strategy. It doesn't affect anemia, relaxation, or neutrophils. Nurses time it 30 minutes prior for peak effect, ensuring comfort during treatment, critical for adherence and quality of life.
Question 2 of 5
A client is being discharged home following a heart catheterization. Which instruction should be included in the discharge teaching?
Correct Answer: B
Rationale: Avoiding tub baths for 48 hours post-heart catheterization prevents site bleeding or infection activity resumes per physician, Coumadin isn't routine, and fever reporting is general advice. Nurses emphasize this, ensuring puncture site healing, critical for safe recovery.
Question 3 of 5
An 18-month-old is being discharged following hypospadias repair. Which instruction should be included in the nurse's discharge teaching?
Correct Answer: A
Rationale: Avoiding rocking horse play post-hypospadias repair prevents urethral trauma compresses don't target surgical pain, diapering continues, and diet isn't specific. Nurses teach activity limits, ensuring healing, critical for this urologic surgery.
Question 4 of 5
The nurse is preparing to administer an injection of Vitamin B12 to a client. Which statement indicates that the client needs additional teaching?
Correct Answer: A
Rationale: Saying monthly Vitamin B12 injections are needed for only 6 months shows misunderstanding pernicious anemia requires lifelong treatment, unlike temporary courses. Urine discoloration (from excretion), anemia improvement, and refrigeration are correct. Nurses clarify this, ensuring adherence, vital for managing B12 deficiency long-term.
Question 5 of 5
The nurse is caring for a client with a history of peptic ulcer disease who complains of acute epigastric pain. This finding most likely indicates:
Correct Answer: A
Rationale: Acute epigastric pain in peptic ulcer disease likely signals perforation, a surgical emergency healing reduces pain, low acid doesn't cause it, and obstruction causes vomiting. Nurses report this, suspecting peritonitis, critical for timely intervention in this GI crisis.