ATI LPN
LPN Fundamentals of Nursing ATI Questions
Question 1 of 5
The nurse is caring for a client receiving oxygen therapy via a face tent. Which action by the nurse is important to ensure proper oxygen delivery?
Correct Answer: C
Rationale: Frequently checking for condensation (C) in a face tent ensures unobstructed oxygen flow, as buildup reduces delivery. Snug fit (A) restricts airflow in tents. Nose breathing (B) isn't required tents cover both. Q8h SpO2 (D) is too infrequent. Condensation checks, per nursing standards, maintain therapy effectiveness.
Question 2 of 5
The nurse is caring for a client following the reimplantation of the thumb and index finger. Which finding should be reported to the physician immediately?
Correct Answer: B
Rationale: Coolness and discoloration post-reimplantation signal compromised circulation, an urgent issue requiring physician notification to prevent tissue loss vascular integrity is critical. Mild fever, pain, or movement issues are expected or less acute. Nurses report this promptly, facilitating rapid intervention like surgical reassessment, preserving the reattached digits' viability.
Question 3 of 5
The nurse is caring for a client with a Sengstaken-Blakemore tube. Which finding should be reported to the physician immediately?
Correct Answer: B
Rationale: A hematocrit of 30% post-Sengstaken-Blakemore tube insertion signals significant bleeding from esophageal varices, requiring immediate physician report normal is 38-50%, and this drop suggests hemorrhage despite tamponade. Nausea, thirst, or stable pressures are less urgent. Nurses flag this drop, prompting transfusion or escalation, critical to stabilize a client in acute liver failure.
Question 4 of 5
The nurse is caring for a 9-year-old with a fractured femur. Following application of the cast, the nurse will check for circulation distal to the cast every:
Correct Answer: B
Rationale: Checking circulation distal to a femur cast every 1-2 hours for 12 hours ensures early detection of neurovascular compromise (e.g., swelling, numbness) in a 9-year-old more frequent checks (15-30 minutes) are excessive post-initial stabilization, while less frequent (2-4 or 4-6 hours) risks missing acute issues. Nurses monitor pulse, color, and sensation, teaching parents to report changes, preventing complications like compartment syndrome.
Question 5 of 5
The nurse is providing care for a client with a newly created colostomy. Which nursing diagnosis should receive priority during the client's first week post-op?
Correct Answer: B
Rationale: Disturbed body image is the priority in the first week post-colostomy, as clients adjust to altered appearance infection, fluids, and nutrition are managed but less immediate emotionally. Nurses support coping, teaching stoma care, aiding psychological adaptation early on.