ATI LPN
LPN Fundamentals Questions Questions
Question 1 of 5
A client with acute respiratory distress syndrome (ARDS) requires high levels of positive end-expiratory pressure (PEEP). Which oxygen delivery system would be most effective in providing the necessary PEEP?
Correct Answer: C
Rationale: A CPAP mask (C) effectively delivers PEEP in ARDS, maintaining airway pressure to improve oxygenation. Non-rebreather (A) and Venturi (B) don't provide PEEP. BVM (D) is for resuscitation, not continuous PEEP. CPAP supports alveolar recruitment, per critical care standards, vital in ARDS management.
Question 2 of 5
A client has returned to his room following an esophagoscopy. Before offering fluids, the nurse should give priority to assessing the client's:
Correct Answer: B
Rationale: Post-esophagoscopy, assessing the gag reflex is critical before offering fluids, as sedation and throat manipulation may impair swallowing, risking aspiration. Consciousness, urine output, or extremity movement are secondary gag reflex directly ensures airway safety. Nurses prioritize this to confirm recovery from anesthesia, preventing complications like choking.
Question 3 of 5
The physician has prescribed Cognex (tacrine) for a client with dementia. The nurse should monitor the client for adverse reactions, which include:
Correct Answer: B
Rationale: Tacrine (Cognex) for dementia commonly elevates liver enzymes, a hepatotoxic effect requiring monitoring, as it can lead to serious liver damage key in Alzheimer's management. Thirst, hypotension, or dry mouth aren't primary concerns. Nurses track liver function tests, educating families on this risk, balancing cognitive benefits against potential toxicity.
Question 4 of 5
The nurse is caring for a client with a history of diverticulitis. Which meal selection is best suited for this client?
Correct Answer: C
Rationale: Baked fish with carrots and rice suits diverticulitis, offering low-fiber, easily digestible options to rest the colon during recovery, avoiding irritation unlike high-fiber peas, seeds in sauce, or crackers. Nurses recommend this bland diet post-flare, educating clients to prevent diverticula inflammation, supporting healing and symptom relief.
Question 5 of 5
The nurse is caring for a client following a Billroth II procedure. Post-operatively, the nurse should position the client in the:
Correct Answer: D
Rationale: Side-lying position post-Billroth II (gastrectomy) prevents dumping syndrome by slowing gastric emptying and reduces aspiration risk from nasogastric drainage supine or Fowler's increases reflux, prone is impractical. Nurses use this positioning, monitoring for rapid pulse or nausea, ensuring comfort and stability after gastric surgery.