ATI LPN
ATI Fundamentals Proctored Exam LPN Questions
Question 1 of 5
The nurse is caring for a client following a transurethral resection of the prostate (TURP). Which finding should be reported to the physician immediately?
Correct Answer: A
Rationale: Bright red urine 12 hours post-TURP suggests active bleeding, abnormal beyond initial pink-tinged output, requiring immediate physician report low output, spasms, or mild fever are less urgent. Nurses flag this, as hemorrhage risks clot retention or shock, prompting irrigation or intervention.
Question 2 of 5
The nurse is caring for a client with a closed reduction of a fractured femur. Following the reduction, the nurse should check the client's affected extremity every 15-30 minutes for:
Correct Answer: B
Rationale: Checking color and pulses every 15-30 minutes post-reduction detects circulatory compromise in a fractured femur warmth, pain, or alignment are secondary. Nurses assess distal perfusion, reporting pallor or pulselessness, preventing complications like ischemia in orthopedic care.
Question 3 of 5
The nurse is caring for a client with a suspected myocardial infarction. Which laboratory value is most specific for confirming the diagnosis?
Correct Answer: A
Rationale: Troponin I is the most specific marker for myocardial infarction, rising within hours and staying elevated for days CK and myoglobin are less specific, LDH is outdated. Nurses monitor this, correlating with ECG and symptoms, aiding rapid diagnosis and treatment.
Question 4 of 5
A client with diabetes mellitus has a prescription for Glucotrol XL (glipizide). The client should be instructed to take the medication:
Correct Answer: B
Rationale: Taking Glucotrol XL with breakfast aligns with its peak action to control post-meal glucose in diabetes bedtime, pre-lunch, or post-dinner mistime it. Nurses teach this, ensuring glycemic control, vital for managing type 2 diabetes effectively.
Question 5 of 5
The nurse is caring for a client admitted with suspected myasthenia gravis. Which finding is usually associated with a diagnosis of myasthenia gravis?
Correct Answer: D
Rationale: Progressive weakness worse at day's end (fatigue) is classic in myasthenia gravis, due to acetylcholine receptor issues diplopia occurs but isn't primary, ascending paralysis fits Guillain-Barré, and rigidity is Parkinson's. Nurses assess this, aiding diagnosis, key for neuromuscular care.