ATI LPN
LPN Fundamentals of Nursing ATI Questions
Question 1 of 4
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 2 of 4
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.
Question 3 of 4
A client with AIDS complains of a weight loss of 20 pounds in the past month. Which diet is suggested for the client with AIDS?
Correct Answer: D
Rationale: High calorie, high protein, low fat supports AIDS clients with weight loss, boosting energy and muscle repair without taxing digestion high fat or low protein hinders recovery. Nurses tailor this, combating wasting, essential for immune function in this chronic illness.
Question 4 of 4
The nurse is caring for a client with a history of CVA with residual right-sided weakness. Which action will best assist the client with feeding?
Correct Answer: C
Rationale: Cutting food and encouraging self-feeding leverages the client's unaffected left side post-CVA, promoting independence puree isn't needed unless swallowing's impaired, left-side tray placement helps, and quick feeding risks aspiration. Nurses support autonomy, enhancing dignity in stroke recovery.