ATI LPN
Nursing Fundamental Physical Assessment LPN Questions
Question 1 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 2 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.
Question 3 of 5
The nurse is preparing to give an oral potassium supplement. The nurse should:
Correct Answer: B
Rationale: Giving an oral potassium supplement with 4oz. of juice dilutes its irritating effects on the stomach, reducing nausea or ulcers a standard administration practice. Undiluted doses, water-only, or empty stomach increase GI distress. Nurses use this method, enhancing tolerability, ensuring electrolyte correction without discomfort.
Question 4 of 5
The nurse is preparing a client with myasthenia gravis for a Tensilon test. The nurse should have which of the following equipment available at the bedside?
Correct Answer: C
Rationale: An intubation tray is essential for a Tensilon test in myasthenia gravis, as edrophonium can trigger a cholinergic crisis, worsening weakness and risking respiratory failure oxygen or monitors help but airway readiness is critical. Nurses prepare this, ensuring safety during diagnosis, ready to assist breathing if the test overstimulates acetylcholine.
Question 5 of 5
The nurse is providing care for a client with a newly applied leg cast. To prevent complications with the casted extremity, the nurse should:
Correct Answer: A
Rationale: Checking cast tightness by inserting a finger between cast and skin prevents circulatory compromise in a new leg cast dependent positioning worsens swelling, ice atop the cast is ineffective, and covering delays drying. Nurses assess fit, teaching elevation and monitoring for numbness, ensuring proper healing without vascular issues.