ATI LPN
LPN Fundamentals Practice Test Questions
Question 1 of 4
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 2 of 4
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 3 of 4
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.
Question 4 of 4
The nurse is caring for a client with a history of CVA. Which deficit is the client most likely to exhibit?
Correct Answer: A
Rationale: Difficulty swallowing (dysphagia) is common post-CVA, especially with brainstem or motor cortex damage vision loss depends on side, taste is less affected, and hearing isn't typical. Nurses assess this, preventing aspiration, key for stroke recovery.