ATI LPN
LPN Fundamentals of Nursing ATI Questions
Question 1 of 5
A nurse is providing oxygen therapy to a client with chronic obstructive pulmonary disease (COPD). Which oxygen delivery system would be most appropriate for this client?
Correct Answer: B
Rationale: A Venturi mask (B) is most appropriate for COPD, delivering precise oxygen (24-50%) to maintain SpO2 88-92%, avoiding suppression of hypoxic drive. Nasal cannula (A) lacks precision. Non-rebreather (C) risks high oxygen, reducing respiratory drive. Oxygen tent (D) is impractical. Controlled delivery aligns with GOLD standards, balancing oxygenation and CO2 retention.
Question 2 of 5
A client with schizophrenia is receiving chlorpromazine (Thorazine) 400 mg twice a day. An adverse side effect of the medication is:
Correct Answer: B
Rationale: Chlorpromazine, an antipsychotic, can cause elevated temperature as an adverse effect, linked to neuroleptic malignant syndrome or anticholinergic effects disrupting thermoregulation a serious risk requiring monitoring. Photosensitivity, weight gain, or hypertension are possible but less acute. Nurses watch for fever to intervene swiftly, ensuring client safety during schizophrenia treatment.
Question 3 of 5
The nurse is caring for a client following the reimplantation of the thumb and index finger. Which finding should be reported to the physician immediately?
Correct Answer: B
Rationale: Coolness and discoloration post-reimplantation signal compromised circulation, an urgent issue requiring physician notification to prevent tissue loss vascular integrity is critical. Mild fever, pain, or movement issues are expected or less acute. Nurses report this promptly, facilitating rapid intervention like surgical reassessment, preserving the reattached digits' viability.
Question 4 of 5
The nurse is caring for a client with a Sengstaken-Blakemore tube. Which finding should be reported to the physician immediately?
Correct Answer: B
Rationale: A hematocrit of 30% post-Sengstaken-Blakemore tube insertion signals significant bleeding from esophageal varices, requiring immediate physician report normal is 38-50%, and this drop suggests hemorrhage despite tamponade. Nausea, thirst, or stable pressures are less urgent. Nurses flag this drop, prompting transfusion or escalation, critical to stabilize a client in acute liver failure.
Question 5 of 5
The nurse is caring for a 9-year-old with a fractured femur. Following application of the cast, the nurse will check for circulation distal to the cast every:
Correct Answer: B
Rationale: Checking circulation distal to a femur cast every 1-2 hours for 12 hours ensures early detection of neurovascular compromise (e.g., swelling, numbness) in a 9-year-old more frequent checks (15-30 minutes) are excessive post-initial stabilization, while less frequent (2-4 or 4-6 hours) risks missing acute issues. Nurses monitor pulse, color, and sensation, teaching parents to report changes, preventing complications like compartment syndrome.