ATI LPN
LPN Fundamentals of Nursing Test Questions
Question 1 of 5
An 18-month-old is being discharged following hypospadias repair. Which instruction should be included in the nurse's discharge teaching?
Correct Answer: A
Rationale: Avoiding rocking horse play post-hypospadias repair prevents urethral trauma compresses don't target surgical pain, diapering continues, and diet isn't specific. Nurses teach activity limits, ensuring healing, critical for this urologic surgery.
Question 2 of 5
The nurse is caring for a client with a history of peptic ulcer disease who complains of acute epigastric pain. This finding most likely indicates:
Correct Answer: A
Rationale: Acute epigastric pain in peptic ulcer disease likely signals perforation, a surgical emergency healing reduces pain, low acid doesn't cause it, and obstruction causes vomiting. Nurses report this, suspecting peritonitis, critical for timely intervention in this GI crisis.
Question 3 of 5
Case finding in RNTCP is based on :
Correct Answer: B
Rationale: The Revised National Tuberculosis Control Programme (RNTCP) prioritizes accessible, rapid TB detection. Sputum culture (choice A) is highly specific but slow (weeks), making it impractical for initial case finding. Sputum microscopy (choice B) uses Ziehl-Neelsen staining to detect acid-fast bacilli, offering a quick, cost-effective method suitable for widespread screening, aligning with RNTCP's strategy. X-ray chest (choice C) detects lung abnormalities but isn't specific to TB and is less feasible in resource-limited settings. Mantoux test/PCR (choice D) identifies exposure or confirms TB molecularly, but these are supplementary, not primary, due to cost and complexity. B is correct because sputum microscopy is RNTCP's cornerstone for active case finding, enabling early treatment. Nurses play a key role in sputum collection and patient education, ensuring compliance and reducing TB transmission in communities.
Question 4 of 5
Expulsion of cervical mucus with blood is known as:
Correct Answer: B
Rationale: In labor, cervical changes signal progression. Lochia (choice A) is postpartum uterine discharge, lasting weeks. Show (choice B) is the bloody mucus plug expelled as the cervix dilates, an early labor sign. Hemorrhage (choice C) implies severe bleeding, not normal mucus. Discharge (choice D) is vague, lacking specificity. B is correct, per obstetric terminology. Nurses assess show to time labor, differentiate it from PPH, and prepare for delivery, ensuring maternal readiness.
Question 5 of 5
Which of the following is a manifestation of pyloric stenosis:
Correct Answer: B
Rationale: Pyloric stenosis narrows the stomach outlet, obstructing flow. Regurgitation (choice A) is passive, unlike the forceful projectile vomiting (choice B) seen as gastric pressure builds, a hallmark in infants. Tenesmus (choice C) is rectal straining, unrelated. Steatorrhea (choice D) is fatty stools, not gastric. B is correct, per clinical presentation. Nurses assess vomiting, palpate the 'olive' mass, and prepare for surgery, ensuring hydration.