ATI LPN
LPN Nursing Fundamentals Questions
Question 1 of 4
The nurse is caring for a client with a closed head injury. Which finding suggests increasing intracranial pressure?
Correct Answer: B
Rationale: Widening pulse pressure (e.g., 140/60) indicates rising intracranial pressure post-head injury, reflecting Cushing's triad with bradycardia and respiratory changes pulse, respiration, or mild fever alone don't confirm this. Nurses report this, signaling brain herniation risk, necessitating urgent intervention like mannitol or surgery.
Question 2 of 4
A client is hospitalized with hepatitis A. Which of the client's regular medications is contraindicated due to the current illness?
Correct Answer: D
Rationale: Lipitor (atorvastatin) is contraindicated in active hepatitis A due to liver metabolism, risking hepatotoxicity Prilosec, Synthroid, and Premarin aren't similarly affected. Nurses hold statins, monitoring liver function, ensuring safety during acute liver inflammation.
Question 3 of 4
The nurse is performing a physical assessment on a client with a history of gout. The nurse should assess the client for:
Correct Answer: A
Rationale: Pain and swelling of the affected joint (often the big toe) are classic gout signs due to uric acid crystal deposits increased urine, fever, or numbness aren't typical. Nurses assess for redness and warmth, guiding anti-inflammatory treatment, critical for managing this metabolic disorder's acute flares.
Question 4 of 4
The nurse is caring for a client following a TURP. The client's catheter becomes obstructed. The nurse should:
Correct Answer: A
Rationale: Notifying the physician immediately for an obstructed catheter post-TURP prevents bladder distention or bleeding increasing flow risks pressure, milking may dislodge clots unsafely, and removal isn't nurse-initiated. Nurses act fast, ensuring patency, critical in urologic surgery.