ATI LPN
LPN Fundamentals Exam Questions
Question 1 of 5
The nurse is caring for a client receiving oxygen therapy via a Venturi mask. Which assessment finding indicates the need for adjustment of the oxygen flow rate?
Correct Answer: C
Rationale: Nasal dryness and discomfort (C) indicate inadequate humidification with a Venturi mask, necessitating flow or humidity adjustment. SpO2 98% (A) and RR 16 (B) are normal. 4 L/min (D) may be correct but doesn't address symptoms. Adjustment, per respiratory care, improves tolerance and efficacy.
Question 2 of 5
A 3-year-old is immobilized in a hip spica cast. Which discharge instruction should be given to the parents?
Correct Answer: D
Rationale: Avoiding dolls or small toys prevents them from lodging in the spica cast, reducing skin irritation or infection risks for a 3-year-old a practical discharge tip. Flat beds, coloring books, or calorie boosts are less critical or unrelated to cast care. Nurses stress this to maintain cast integrity, ensuring safe immobilization for hip healing.
Question 3 of 5
The nurse is preparing a client with a history of atrial fibrillation for discharge. Which statement by the client indicates that he understood the nurse's teaching regarding warfarin (Coumadin)?
Correct Answer: B
Rationale: Reporting bruising indicates understanding of warfarin's anticoagulant effect, as excessive bleeding is a key risk in atrial fibrillation management, requiring physician oversight reflecting proper teaching. Spinach (high vitamin K) counters warfarin, blood tests (INR) are routine, and dosing is daily, not weekly. Nurses reinforce this vigilance, ensuring clients monitor for bleeding to balance clot prevention with safety.
Question 4 of 5
The nurse is caring for a client with laryngeal cancer. Which finding ascertained in the health history would be a contributing factor to the development of his cancer?
Correct Answer: C
Rationale: Cigarette smoking is a major risk factor for laryngeal cancer, as carcinogens in tobacco directly irritate the laryngeal mucosa, leading to cellular changes over time unlike a vegetarian diet, low alcohol, or exercise, which lack this link. Nurses assess smoking history (pack-years) to identify causation, educating clients on cessation to reduce recurrence or progression risks, critical in oncology care planning.
Question 5 of 5
The nurse is assisting with the delivery of a client with abruptio placenta. Following delivery, the nurse should give priority to:
Correct Answer: A
Rationale: Checking uterine firmness post-abruptio placenta delivery prevents postpartum hemorrhage, a priority Apgar, IV, and oxygen follow maternal stabilization. Nurses massage the fundus, monitoring bleeding, critical for maternal survival in this obstetric emergency.