ATI LPN
Nursing Fundamentals Exam for LPN Questions
Question 1 of 5
An 8-year-old is admitted with drooling, muffled phonation, and a temperature of 102°F. The nurse should immediately notify the doctor because the child's symptoms are suggestive of:
Correct Answer: B
Rationale: Drooling, muffled voice, and fever in an 8-year-old suggest epiglottitis, a life-threatening airway emergency requiring immediate physician notification for intervention like intubation. Strep throat lacks drooling, laryngotracheobronchitis features a barky cough, and tonsillitis doesn't typically muffle speech. Nurses act swiftly, recognizing this triad as a red flag for rapid airway obstruction.
Question 2 of 5
The nurse is caring for a client with a leaking cerebral aneurysm. Which finding should be reported to the physician immediately?
Correct Answer: A
Rationale: A blood pressure of 210/100 in a leaking cerebral aneurysm is a hypertensive crisis, risking re-bleed or extension, requiring immediate physician report normal pupils, no pain, or adequate urine don't signal this urgency. Nurses act swiftly, as uncontrolled pressure threatens brain damage, prompting rapid antihypertensive intervention.
Question 3 of 5
The physician has ordered a culture and sensitivity on a client with a suspected wound infection. The nurse should:
Correct Answer: A
Rationale: Obtaining the culture before antibiotics ensures accurate identification of the causative organism in a suspected wound infection cleansing with Betadine or prioritizing sensitivity first skews results, and stat requests don't alter sequence. Nurses swab correctly, preserving pathogen viability, aiding effective treatment and preventing resistance in wound care.
Question 4 of 5
The nurse is providing dietary teaching for a client with hypertension. To reduce sodium intake, the nurse should instruct the client to avoid:
Correct Answer: B
Rationale: Canned soups are high in sodium, worsening hypertension fresh fruits, steamed vegetables, and broiled meats are low-sodium options. Nurses teach label reading, reducing cardiovascular strain, supporting blood pressure control in dietary management.
Question 5 of 5
The nurse is teaching the mother of a child with cystic fibrosis how to do chest percussion. The nurse should tell the mother to:
Correct Answer: D
Rationale: Cupped hands during chest percussion loosen mucus in cystic fibrosis safely heel strikes hurt, frequent position changes disrupt, and post-meal percussion risks vomiting. Nurses demonstrate this, enhancing airway clearance, vital for respiratory health.