ATI LPN
LPN Fundamentals Questions
Question 1 of 5
A nurse is caring for a client receiving oxygen therapy via a Venturi mask. What is an important nursing consideration for this client?
Correct Answer: B
Rationale: Monitoring for oxygen toxicity (B) is crucial with a Venturi mask, as prolonged high oxygen (e.g., >50%) can cause lung damage or CNS symptoms like seizures. Hourly RR (A) is routine, not specific. Supplemental oxygen (C) is the mask's purpose. Tight fit (D) isn't unique to Venturi. Vigilance for toxicity, per nursing standards, protects against overuse.
Question 2 of 5
The nurse is caring for a client with laryngeal cancer. The client's daughter asks the nurse how her father got cancer of the larynx. The nurse should explain that one risk factor is:
Correct Answer: D
Rationale: Cigarette smoking is a primary risk factor for laryngeal cancer, as tobacco's carcinogens directly irritate and mutate laryngeal tissues over time, a well-established link in oncology. Tuberculosis affects the lungs, not typically the larynx, while wood dust and air pollution are more associated with nasal or lung cancers. Nurses educate families on this connection, emphasizing smoking cessation to reduce risk, framing it as a preventable factor. This explanation addresses the daughter's query with clarity, grounding it in the client's likely history, and supports broader health teaching to mitigate future risks in the family.
Question 3 of 5
The nurse is caring for a client following a right total knee replacement. Which of the following should be included in the plan of care?
Correct Answer: D
Rationale: Checking the continuous passive motion (CPM) device is key post-right total knee replacement, ensuring it maintains joint mobility and prevents stiffness flat legs, pillows under knees, or prone positioning counter recovery goals. Nurses monitor CPM settings, promoting circulation and range of motion, critical for rehabilitation success.
Question 4 of 5
The nurse is caring for an infant with a diagnosis of tracheoesophageal fistula. Which nursing diagnosis should receive priority during the infant's preoperative period?
Correct Answer: A
Rationale: Risk for aspiration is the priority preoperatively in tracheoesophageal fistula, as the abnormal esophagus-trachea connection risks pneumonia nutrition, fluids, and coping are secondary until surgery corrects the defect. Nurses position head-up, suctioning secretions, preventing respiratory distress in this congenital emergency.
Question 5 of 5
The physician has ordered dressings with Silvadene (silver sulfadiazine) for a client with burns to the chest and arms. Which action should be taken by the nurse when applying this medication?
Correct Answer: A
Rationale: Applying Silvadene with a sterile-gloved hand ensures even coverage and infection prevention for chest and arm burns occlusive dressings trap moisture, alcohol irritates, and shaving risks injury. Nurses maintain sterility, monitoring for sulfa allergy, promoting healing in burn care.