ATI LPN
Fundamentals of Nursing LPN Questions
Question 1 of 5
The licensed vocational nurse may not assume the primary care for a client:
Correct Answer: C
Rationale: Licensed vocational nurses (LVNs) have a scope of practice excluding primary care for clients with complex needs like venous access devices, which require advanced monitoring and intervention skills reserved for RNs. The fourth stage of labor, post-appendectomy recovery, and bipolar disorder management typically involve stable or predictable care LVNs can handle under supervision. Venous devices, however, pose risks like infection or occlusion, demanding higher-level assessment. Nurses respect these boundaries to ensure safe, competent care delivery aligned with licensure limits.
Question 2 of 5
A client with bipolar disorder is admitted to the unit in a manic state. Which of the following activities is most appropriate for the client?
Correct Answer: C
Rationale: Reading a book in his room suits a manic client with bipolar disorder, providing a calm, low-stimulation activity to reduce agitation chess, singing, or TV may overstimulate or frustrate. Nurses select this to stabilize mood, offering solitude and focus, aiding de-escalation in a controlled setting.
Question 3 of 5
A client is being discharged with a prescription for phenytoin (Dilantin). The nurse should instruct the client to:
Correct Answer: C
Rationale: Brushing and flossing after meals prevents gingival hyperplasia, a common phenytoin side effect meals don't buffer GI upset significantly, weekly blood draws aren't routine, and seizure-only dosing is incorrect. Nurses teach oral hygiene, ensuring adherence and minimizing complications in seizure management.
Question 4 of 5
The nurse is preparing to administer regular insulin to a client with Type I diabetes. Which injection site is most appropriate for the morning dose?
Correct Answer: D
Rationale: The anterior thigh is ideal for morning regular insulin in Type I diabetes, offering steady absorption upper arm is harder to self-administer, abdomen is faster (better for rapid-acting), and buttocks are slower. Nurses rotate sites, teaching clients to use thighs for consistent glucose control, critical for managing this chronic condition effectively.
Question 5 of 5
A client with schizophrenia is receiving depot injections of Haldol Decanoate (haloperidol decanoate). The client should be told to return for his next injection in:
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.