ATI LPN
LPN Fundamentals Exam Questions
Question 1 of 5
A community health nurse is planning a health fair and wants to include illness prevention strategies. Which strategy reflects tertiary prevention?
Correct Answer: C
Rationale: Tertiary prevention manages existing illness to limit impact, fitting a health fair's broad reach. Referring arthritis clients to physical therapy helps maintain joint function and ease pain post-diagnosis care to reduce disability, a nursing focus for chronic conditions. Teaching bicycle safety is primary, preventing injuries. Screening cholesterol is secondary, detecting risks early. Flu shot education is primary, averting illness onset. Physical therapy referral targets those already affected arthritis affects mobility, and therapy cuts stiffness, per research making it tertiary. This strategy suits community nursing, connecting clients to resources that sustain health despite disease, ensuring the fair addresses all prevention levels while spotlighting rehabilitation's role in long-term wellness.
Question 2 of 5
A client begins to drain small amounts of red blood from a tracheostomy tube 36 hours after a supraglottic laryngectomy. The licensed practical nurse should perform which action?
Correct Answer: A
Rationale: Red blood from a tracheostomy post-laryngectomy suggests bleeding; notifying the RN (A) is the priority for escalation. Suctioning (B) or moisture (C) doesn't address the cause. Documentation (D) follows. A is correct. Rationale: Bleeding may indicate hemorrhage, requiring RN assessment and intervention, per scope of practice and emergency protocols.
Question 3 of 5
A client who sustained a closed head injury is being monitored for increased intracranial pressure. Arterial blood gases are obtained, and the results include a PCO2 of $33 \mathrm{~mm} \mathrm{Hg}$. What action is most important for the nurse to take?
Correct Answer: D
Rationale: A PCO2 of 33 mm Hg suggests hyperventilation, possibly compensating for ICP. Informing the provider and monitoring (D) is most important to guide management. Slowing breathing (A) risks raising PCO2. Suctioning (B) or oxygen (C) isn't indicated yet. D is correct. Rationale: Low PCO2 may reflect ICP response; ongoing monitoring and reporting ensure timely intervention, per neurocritical care standards.
Question 4 of 5
Which color of cerebrospinal fluid (CSF) may indicate subarachnoid hemorrhage in the client?
Correct Answer: B
Rationale: Yellow CSF (B) indicates subarachnoid hemorrhage due to xanthochromia from blood breakdown. Hazy (A) suggests infection. Brown (C) or colorless (D) don't fit. B is correct. Rationale: Xanthochromia confirms bleeding, a key diagnostic sign, per neurology standards, distinguishing it from other CSF changes.
Question 5 of 5
The nurse is caring for a client with a spinal cord injury at the T6 level who suddenly develops a blood pressure of 200/100 mm Hg and a headache. Which condition does the nurse suspect?
Correct Answer: B
Rationale: BP 200/100 and headache in T6 SCI suggest autonomic dysreflexia (B) from a stimulus below the injury. Neurogenic shock (A) has hypotension. Hypovolemic (C) or septic (D) don't match. B is correct. Rationale: Dysreflexia's sympathetic surge above T6 triggers hypertension, per SCI emergency care, requiring immediate stimulus removal.