ATI LPN
LPN Fundamentals of Nursing Test Questions
Question 1 of 5
The nurse is assessing a client with a traumatic brain injury who has a ventriculostomy in place. Which finding indicates a complication that requires immediate reporting?
Correct Answer: D
Rationale: Yellowish drainage (D) from a ventriculostomy suggests infection (e.g., meningitis), needing immediate reporting. Clear fluid (A) is normal CSF. ICP 18 (B) is borderline. Fever (C) is nonspecific. D is correct. Rationale: Infection risks brain damage, requiring antibiotics, per neurosurgical care, a critical complication.
Question 2 of 5
You are working with a client who has cancer and is undergoing treatment. The client complains of a loss of appetite. You will most need to make certain that your client eats which one of the following foods?
Correct Answer: D
Rationale: For a cancer client with poor appetite, protein is most critical to maintain muscle mass and support healing during treatment. Fruits and vegetables offer vitamins, and carbohydrates provide energy, but protein deficiency risks wasting, common in cancer. Nurses prioritize this nutrient to bolster resilience against treatment side effects.
Question 3 of 5
The physician of your assigned client tells you that the client has a heart murmur that can be detected by direct auscultation. You realize that the physician is telling you which of the following things?
Correct Answer: A
Rationale: Direct auscultation means using a stethoscope to hear a murmur, standard for heart sounds. Ear alone, ultrasound, or Doppler aren't implied. Nurses apply this in cardiac exams.
Question 4 of 5
When working with clients experiencing pain, you will define their pain in regard to whether they have pain or not and how intense it is based on which of the following things?
Correct Answer: C
Rationale: Pain is defined by the client's self-report, per McCaffery's standard, not nurse expertise, cause, or research. Nurses honor this subjective experience for care.
Question 5 of 5
Which respiratory complication is commonly associated with immobility?
Correct Answer: B
Rationale: Immobility often causes hypoxia due to shallow breathing and limited lung expansion, reducing oxygen delivery to tissues a frequent issue in sedentary patients. This stems from decreased chest movement, risking conditions like atelectasis. Excessive breathing isn't typical, as immobility slows respiratory effort, not accelerates it. Low or high blood pressure relates more to cardiovascular dynamics than lung function in this context. Nurses address this by encouraging deep breathing or repositioning, countering the oxygen deficit that immobility fosters, ensuring respiratory health remains a priority in care planning.