ATI LPN
ATI LPN Fundamentals Proctored Exam 2024 Questions
Question 1 of 5
An infant with Tetralogy of Fallot is discharged with a prescription for Lanoxin elixir. The nurse should instruct the mother to:
Correct Answer: B
Rationale: Using the calibrated dropper ensures accurate dosing of Lanoxin (digoxin) elixir for an infant with Tetralogy of Fallot, critical due to its narrow therapeutic range and cardiac effects. Nipples, spoons, or dilution in bottles risk under- or overdosing. Nurses teach this method to parents, stressing precision to manage heart defects safely, preventing toxicity or inefficacy.
Question 2 of 5
The nurse is preparing a client with an axillopopliteal bypass graft for discharge. The client should be taught to avoid:
Correct Answer: C
Rationale: Sitting in a chair for long periods post-axillopopliteal bypass risks kinking the graft or pooling blood, impairing circulation and healing a key discharge caution. Elevating legs, walking, or lying flat supports venous return and graft patency. Nurses teach this to prevent thrombosis or occlusion, ensuring clients maintain mobility and positioning to optimize surgical outcomes and limb perfusion.
Question 3 of 5
The nurse is caring for a client with a fractured tibia placed in an external fixator. Which of the following should be included in the plan of care?
Correct Answer: B
Rationale: Checking pin sites for infection (redness, drainage) is critical in external fixator care for a fractured tibia, preventing osteomyelitis flat legs, massage, or early ambulation risk stability or healing. Nurses monitor this, ensuring site care and antibiotics if needed, supporting bone recovery.
Question 4 of 5
The nurse is providing dietary instruction for a client with hypoglycemia. To prevent hypoglycemic reactions, the nurse should instruct the client to:
Correct Answer: B
Rationale: Carrying a quick sugar source (e.g., glucose tabs) prevents hypoglycemic reactions by rapidly raising blood sugar candy is less precise, fluid limits are unrelated, and large meals don't directly cause drops. Nurses teach this, ensuring safety, critical for hypoglycemia management.
Question 5 of 5
The nurse is teaching the parents of an infant with osteogenesis imperfecta. The nurse should tell the parents:
Correct Answer: B
Rationale: Lifting by the buttocks prevents fractures in osteogenesis imperfecta, a brittle bone disorder calcium doesn't strengthen defective collagen, it's lifelong, and other systems (e.g., hearing) may be affected. Nurses teach gentle handling, ensuring safety in this genetic condition.