ATI LPN
LPN Fundamentals of Nursing ATI Questions
Question 1 of 5
A client with schizophrenia is receiving chlorpromazine (Thorazine) 400 mg twice a day. An adverse side effect of the medication is:
Correct Answer: B
Rationale: Chlorpromazine, an antipsychotic, can cause elevated temperature as an adverse effect, linked to neuroleptic malignant syndrome or anticholinergic effects disrupting thermoregulation a serious risk requiring monitoring. Photosensitivity, weight gain, or hypertension are possible but less acute. Nurses watch for fever to intervene swiftly, ensuring client safety during schizophrenia treatment.
Question 2 of 5
The nurse is caring for a client with a Sengstaken-Blakemore tube. Which finding should be reported to the physician immediately?
Correct Answer: B
Rationale: A hematocrit of 30% post-Sengstaken-Blakemore tube insertion signals significant bleeding from esophageal varices, requiring immediate physician report normal is 38-50%, and this drop suggests hemorrhage despite tamponade. Nausea, thirst, or stable pressures are less urgent. Nurses flag this drop, prompting transfusion or escalation, critical to stabilize a client in acute liver failure.
Question 3 of 5
The nurse is caring for a 9-year-old with a fractured femur. Following application of the cast, the nurse will check for circulation distal to the cast every:
Correct Answer: B
Rationale: Checking circulation distal to a femur cast every 1-2 hours for 12 hours ensures early detection of neurovascular compromise (e.g., swelling, numbness) in a 9-year-old more frequent checks (15-30 minutes) are excessive post-initial stabilization, while less frequent (2-4 or 4-6 hours) risks missing acute issues. Nurses monitor pulse, color, and sensation, teaching parents to report changes, preventing complications like compartment syndrome.
Question 4 of 5
The nurse is providing care for a client with a newly created colostomy. Which nursing diagnosis should receive priority during the client's first week post-op?
Correct Answer: B
Rationale: Disturbed body image is the priority in the first week post-colostomy, as clients adjust to altered appearance infection, fluids, and nutrition are managed but less immediate emotionally. Nurses support coping, teaching stoma care, aiding psychological adaptation early on.
Question 5 of 5
A client with AIDS complains of a weight loss of 20 pounds in the past month. Which diet is suggested for the client with AIDS?
Correct Answer: D
Rationale: High calorie, high protein, low fat supports AIDS clients with weight loss, boosting energy and muscle repair without taxing digestion high fat or low protein hinders recovery. Nurses tailor this, combating wasting, essential for immune function in this chronic illness.