ATI LPN
Nursing Fundamental Physical Assessment LPN Questions
Question 1 of 5
Phototherapy is ordered for a newborn with physiologic jaundice. The nurse caring for the infant should:
Correct Answer: C
Rationale: Covering the newborn's eyes with shields during phototherapy prevents retinal damage from bilirubin-breaking light, a critical safety measure in treating physiologic jaundice. Oil-based lotions interfere with light penetration, turning is helpful but secondary, and removal during feedings isn't standard. Nurses prioritize eye protection, ensuring effective therapy while safeguarding vision.
Question 2 of 5
The nurse is preparing a client with myasthenia gravis for a Tensilon test. The nurse should have which of the following equipment available at the bedside?
Correct Answer: C
Rationale: An intubation tray is essential for a Tensilon test in myasthenia gravis, as edrophonium can trigger a cholinergic crisis, worsening weakness and risking respiratory failure oxygen or monitors help but airway readiness is critical. Nurses prepare this, ensuring safety during diagnosis, ready to assist breathing if the test overstimulates acetylcholine.
Question 3 of 5
The nurse is providing care for a client with a newly applied leg cast. To prevent complications with the casted extremity, the nurse should:
Correct Answer: A
Rationale: Checking cast tightness by inserting a finger between cast and skin prevents circulatory compromise in a new leg cast dependent positioning worsens swelling, ice atop the cast is ineffective, and covering delays drying. Nurses assess fit, teaching elevation and monitoring for numbness, ensuring proper healing without vascular issues.
Question 4 of 5
The nurse is caring for a client with a history of diverticulitis. Which finding is associated with an acute episode of diverticulitis?
Correct Answer: A
Rationale: Left lower quadrant pain is a hallmark of acute diverticulitis, reflecting inflammation in the sigmoid colon bright red bleeding suggests diverticulosis bleed, a board-like abdomen indicates perforation (a complication), and fever is less specific. Nurses assess this pain, often cramping, reporting it to guide antibiotics and rest, preventing perforation in this gastrointestinal emergency.
Question 5 of 5
The nurse calculates the amount of an antibiotic for injection to be given to an infant. The amount of medication to be administered is 1.25mL. The nurse should:
Correct Answer: A
Rationale: Dividing 1.25mL into two vastus lateralis injections (0.625mL each) suits infants, as their small muscles can't handle over 1mL dorsogluteal and ventrogluteal are riskier. Nurses split doses, ensuring safe absorption, key for pediatric medication delivery.