ATI LPN
LPN Fundamentals Final Exam Questions
Question 1 of 5
A nurse is providing oxygen therapy to a client using a face mask. What is an important nursing consideration for this client?
Correct Answer: D
Rationale: Assessing for skin breakdown (D) is vital with face masks, as prolonged pressure on the nose and cheeks can cause ulcers. Removing during meals (A) disrupts therapy. Mouth-only coverage (B) reduces efficacy. Q4h SpO2 checks (C) are too infrequent. Skin checks prevent complications, per nursing care, ensuring mask safety.
Question 2 of 5
The nurse should observe for side effects associated with the use of bronchodilators. A common side effect of bronchodilators is:
Correct Answer: B
Rationale: Nausea is a common side effect of bronchodilators like albuterol, stemming from systemic absorption stimulating the gastrointestinal tract or central nervous system, a frequent complaint in respiratory therapy. Tinnitus relates more to ototoxic drugs, ataxia to neurological issues, and hypotension isn't typical tachycardia is more likely. Nurses monitor for nausea to adjust administration (e.g., with food) or report persistent issues, ensuring client comfort while maintaining airway dilation. This vigilance balances therapeutic benefits against manageable side effects, critical for clients with chronic respiratory conditions.
Question 3 of 5
The physician has ordered antibiotic therapy for a client with a Gram-negative infection. The nurse can expect the physician to order:
Correct Answer: C
Rationale: Gentamicin, an aminoglycoside, targets Gram-negative infections (e.g., E. coli), effective against their cell walls penicillin and cefazolin favor Gram-positive, erythromycin less so. Nurses anticipate this, monitoring for nephrotoxicity or ototoxicity, ensuring proper dosing for bacterial clearance in this client.
Question 4 of 5
The nurse is caring for a client with AIDS who has a new order for captopril (Capoten). The nurse should monitor the client for:
Correct Answer: B
Rationale: Hypotension is a key side effect of captopril (ACE inhibitor) in AIDS clients, due to vasodilation hyperkalemia is possible but less immediate, hypoglycemia isn't linked, and urine output may not increase. Nurses check blood pressure frequently, ensuring safety, especially with AIDS-related comorbidities affecting fluid balance.
Question 5 of 5
The nurse is caring for a client with a fractured tibia who has just received a cast. Following application of the cast, the client complains of increased pain. The nurse should:
Correct Answer: B
Rationale: Administering pain medication as ordered addresses increased pain post-casting for a fractured tibia, likely from swelling elevation helps but isn't enough, removal is premature, and ice over plaster is less effective. Nurses assess neurovascular status, ensuring comfort while monitoring for compartment syndrome in orthopedic care.