ATI LPN
LPN Fundamentals of Nursing ATI Questions
Question 1 of 5
The nurse is assessing a client with a traumatic brain injury. Which finding indicates a worsening condition that requires immediate reporting to the healthcare provider?
Correct Answer: D
Rationale: A fixed, dilated pupil (D) indicates worsening brain injury, likely herniation, needing immediate reporting. GCS 12 (A), equal pupils (B), or normal RR (C) are less urgent. D is correct. Rationale: Pupil fixation signals severe ICP elevation, a neurosurgical emergency, per brain trauma standards, requiring rapid intervention.
Question 2 of 5
When instructing the family of a client who has diabetes with neuropathy causing impaired skin sensitivity, you would stress the importance of which one of the following things in regard to showering or bathing?
Correct Answer: D
Rationale: For a diabetic client with neuropathy, ensuring water isn't hot is crucial due to reduced sensation, preventing burns. Neuropathy dulls temperature perception, so a method like testing with an elbow safeguards skin integrity. Cleaning with peroxide is unrelated, and drying or lotion help but don't address the primary risk. This instruction empowers the family to prevent injury, a key nursing focus in managing sensory deficits.
Question 3 of 5
When the nurse's assigned client is being discharged to another institution or a home setting where a visit by the community health nurse is required, which of the following information is most likely to be included in the discharge and referral summaries?
Correct Answer: A
Rationale: Discharge summaries most likely include unresolved problems and continuing needs like wound care to ensure seamless care transition. Financial assessments, physician orders, or new plans might supplement but aren't primary. This focus aids community nurses in prioritizing interventions, a key nursing handoff element.
Question 4 of 5
When assessing the client's hair, you are especially looking for pediculosis capitis. If it is present, which of the following signs will you most likely find?
Correct Answer: A
Rationale: Pediculosis capitis (head lice) shows oval nits resembling dandruff on hairs, not crusts, lesions, or visible insects (lice move). Nurses identify this for treatment planning.
Question 5 of 5
In instructing a client on cholesterol, the nurse will teach which of the following things?
Correct Answer: D
Rationale: Most cholesterol is liver-synthesized, not diet-derived, and is needed, not destroyed intestinally. Nurses clarify this for dietary understanding.