ATI LPN
Nursing Fundamentals Exam for LPN Questions
Question 1 of 5
A client with sleep apnea requires positive pressure ventilation during sleep. Which oxygen delivery system would be most appropriate for this client to ensure continuous positive airway pressure (CPAP)?
Correct Answer: D
Rationale: A CPAP mask (D) is most appropriate for sleep apnea, delivering constant pressure to keep airways open, improving oxygenation and sleep quality. Nasal cannula (A), Venturi (B), and non-rebreather (C) don't provide pressure support. CPAP is the gold standard, per sleep medicine, addressing apnea effectively.
Question 2 of 5
An 8-year-old is admitted with drooling, muffled phonation, and a temperature of 102°F. The nurse should immediately notify the doctor because the child's symptoms are suggestive of:
Correct Answer: B
Rationale: Drooling, muffled voice, and fever in an 8-year-old suggest epiglottitis, a life-threatening airway emergency requiring immediate physician notification for intervention like intubation. Strep throat lacks drooling, laryngotracheobronchitis features a barky cough, and tonsillitis doesn't typically muffle speech. Nurses act swiftly, recognizing this triad as a red flag for rapid airway obstruction.
Question 3 of 5
The physician has ordered a blood test for H. pylori. The nurse should prepare the client by:
Correct Answer: B
Rationale: No special preparation is needed for an H. pylori blood test (serology), detecting antibodies without fasting or isotopes unlike urea breath tests. Nurses convey this simplicity, reducing client anxiety, ensuring compliance with this diagnostic step for ulcer-related conditions.
Question 4 of 5
The nurse is caring for a client with a leaking cerebral aneurysm. Which finding should be reported to the physician immediately?
Correct Answer: A
Rationale: A blood pressure of 210/100 in a leaking cerebral aneurysm is a hypertensive crisis, risking re-bleed or extension, requiring immediate physician report normal pupils, no pain, or adequate urine don't signal this urgency. Nurses act swiftly, as uncontrolled pressure threatens brain damage, prompting rapid antihypertensive intervention.
Question 5 of 5
The physician has ordered a culture and sensitivity on a client with a suspected wound infection. The nurse should:
Correct Answer: A
Rationale: Obtaining the culture before antibiotics ensures accurate identification of the causative organism in a suspected wound infection cleansing with Betadine or prioritizing sensitivity first skews results, and stat requests don't alter sequence. Nurses swab correctly, preserving pathogen viability, aiding effective treatment and preventing resistance in wound care.