ATI LPN
LPN Fundamentals Practice Test Questions
Question 1 of 5
A client with a bowel resection and anastomosis returns to his room with an NG tube attached to intermittent suction. Which of the following observations indicates that the nasogastric suction is working properly?
Correct Answer: A
Rationale: A soft abdomen indicates effective nasogastric suction post-bowel resection, decompressing the stomach and intestines, preventing distension or leakage at the anastomosis site. Swallowing ability, bowel sounds, or dressing condition don't directly confirm suction efficacy distension relief does. Nurses monitor this to ensure gastrointestinal rest, reducing complications like ileus or suture strain, supporting healing in a client recovering from major abdominal surgery.
Question 2 of 5
A client with a history of renal failure is admitted with shortness of breath and substernal chest pain. Which of the following laboratory values should be reported to the physician immediately?
Correct Answer: A
Rationale: Potassium 6.2 mEq/L (normal 3.5-5.0) in renal failure with chest pain and dyspnea signals hyperkalemia, risking cardiac arrhythmias urgent for physician report. Creatinine elevation is expected, hemoglobin and sodium are normal. Nurses flag this, as it ties to symptoms, prompting ECG and potassium-lowering measures.
Question 3 of 5
The nurse is caring for a client with a Sengstaken-Blakemore tube. To prevent ulceration of the nares while the tube is in place, the nurse should:
Correct Answer: C
Rationale: Applying water-soluble lubricant to the nares prevents ulceration with a Sengstaken-Blakemore tube, reducing friction oil-based lubricants risk aspiration, tight taping increases pressure, and peroxide irritates. Nurses maintain nasal care, ensuring comfort and preventing tissue breakdown during esophageal varices treatment.
Question 4 of 5
The mother of a child with cystic fibrosis tells the nurse that her child makes 'snoring' sounds when breathing. The nurse is aware that many children with cystic fibrosis have:
Correct Answer: B
Rationale: Nasal polyps often cause snoring-like sounds in cystic fibrosis kids, due to chronic sinus inflammation choanal atresia is congenital, septal deviations and adenoids less linked. Nurses recognize this, teaching airway clearance, supporting respiratory health in this genetic condition.
Question 5 of 5
A client with an abdominal aortic aneurysm is admitted in preparation for surgery. Which finding should be reported to the physician?
Correct Answer: C
Rationale: Complaints of lower back pain in an abdominal aortic aneurysm (AAA) patient signal possible rupture or expansion, requiring immediate reporting normal creatinine (0.8mg/dL), BP (110/62), and WBC (9,000cu/mm) don't indicate urgency. Nurses prioritize this symptom, as it may precede hemodynamic instability, necessitating urgent surgical intervention to prevent fatal hemorrhage in this vascular emergency.