ATI LPN
LPN Nursing Fundamentals Questions
Question 1 of 5
An 18-month-old is scheduled for a cleft palate repair. The usual type of restraints for the child with a cleft palate repair are:
Correct Answer: A
Rationale: Elbow restraints are used post-cleft palate repair to prevent an 18-month-old from touching the surgical site, protecting sutures without overly restricting movement. Full arm or wrist restraints are excessive, while mummy restraints are impractical and unnecessary. Nurses apply these to balance safety and comfort, educating parents on their temporary use to ensure healing, critical for speech and feeding outcomes.
Question 2 of 5
A pediatric client with burns to the hands and arms has dressing changes with Sulfamylon (mafenide acetate) cream. The nurse is aware that the medication:
Correct Answer: D
Rationale: Sulfamylon cream causes a burning sensation on application to burns, a known effect due to its penetration into damaged tissue, requiring pain management a pediatric care priority. Staining, cooling, or thyroid impact aren't typical. Nurses prepare for this, using analgesics to ease discomfort, supporting healing in young clients.
Question 3 of 5
The nurse is caring for a client with a closed head injury. Which finding suggests increasing intracranial pressure?
Correct Answer: B
Rationale: Widening pulse pressure (e.g., 140/60) indicates rising intracranial pressure post-head injury, reflecting Cushing's triad with bradycardia and respiratory changes pulse, respiration, or mild fever alone don't confirm this. Nurses report this, signaling brain herniation risk, necessitating urgent intervention like mannitol or surgery.
Question 4 of 5
The physician has ordered a low-fat diet for a client with cholecystitis. The nurse recognizes that the client understands the dietary teaching if he selects:
Correct Answer: B
Rationale: Broiled fish, steamed carrots, and rice align with a low-fat diet for cholecystitis, minimizing gallbladder stimulation fried, fatty foods (chicken, bacon, hamburger) worsen inflammation. Nurses reinforce this choice, reducing pain and aiding recovery in gallbladder disease management.
Question 5 of 5
A client is hospitalized with hepatitis A. Which of the client's regular medications is contraindicated due to the current illness?
Correct Answer: D
Rationale: Lipitor (atorvastatin) is contraindicated in active hepatitis A due to liver metabolism, risking hepatotoxicity Prilosec, Synthroid, and Premarin aren't similarly affected. Nurses hold statins, monitoring liver function, ensuring safety during acute liver inflammation.