ATI LPN
Nursing Fundamental Physical Assessment LPN Questions
Question 1 of 5
A nurse getting report at the beginning of shift learns that an assigned client has hyperpyrexia. The nurse realizes that this client is experiencing which of the following signs or symptoms?
Correct Answer: B
Rationale: Hyperpyrexia means a very high fever (e.g., 41°C), not bleeding, waxy muscles, or burns. Nurses recognize this for urgent temperature management.
Question 2 of 5
Which positioning technique should the nurse use to prevent pressure ulcers in a patient with limited mobility?
Correct Answer: C
Rationale: Supporting bony prominences with pillows or foam pads prevents pressure ulcers by distributing weight and reducing pressure on vulnerable spots in limited-mobility patients. Prone positioning or prolonged sitting increases risk, and a 90-degree head elevation causes shear. Nurses use this technique to protect skin, ensuring comfort and circulation, a primary defense against tissue breakdown in restricted movement cases.
Question 3 of 5
A nurse is providing oxygen therapy to a client. What is an important nursing consideration when applying a nasal cannula for oxygen delivery?
Correct Answer: D
Rationale: Administering humidified oxygen (D) is key with nasal cannulas, preventing nasal dryness and enhancing comfort at flows up to 6 L/min. Tight securing (A) causes discomfort. Mouth placement (B) is incorrect. Ear skin checks (C) apply to masks, not cannulas. Humidification aligns with nursing care standards, reducing irritation.
Question 4 of 5
A client is sent to the psychiatric unit for forensic evaluation after he is accused of arson. His tentative diagnosis is antisocial personality disorder. In reviewing the client's record, the nurse could expect to find:
Correct Answer: C
Rationale: Antisocial personality disorder often manifests with a history of cruelty to animals, a behavioral marker reflecting disregard for others' rights, common in childhood conduct issues progressing to this diagnosis. Consistent employment contradicts the impulsivity and irresponsibility typical of the disorder, while intelligence varies and isn't characteristically low. Remorse is rare due to limited empathy. Nurses reviewing such records anticipate these patterns to inform care, focusing on safety and behavioral management rather than expecting regret or stability.
Question 5 of 5
Phototherapy is ordered for a newborn with physiologic jaundice. The nurse caring for the infant should:
Correct Answer: C
Rationale: Covering the newborn's eyes with shields during phototherapy prevents retinal damage from bilirubin-breaking light, a critical safety measure in treating physiologic jaundice. Oil-based lotions interfere with light penetration, turning is helpful but secondary, and removal during feedings isn't standard. Nurses prioritize eye protection, ensuring effective therapy while safeguarding vision.