ATI LPN
LPN Fundamentals Exam 1 Quizlet Questions
Question 1 of 5
The nurse is caring for a client with a spinal cord injury at C4. Which complication should the nurse monitor for as a priority?
Correct Answer: A
Rationale: C4 SCI risks respiratory failure (A) from phrenic nerve impairment. Retention (B), ulcers (C), or incontinence (D) are secondary. A is correct. Rationale: Breathing loss is immediate and life-threatening, per SCI priorities, requiring ventilatory support.
Question 2 of 5
Which of the following situations represents the best example of passive immunity?
Correct Answer: B
Rationale: Passive immunity involves receiving pre-formed antibodies, best exemplified by an infant getting maternal antibodies via breast milk. Vaccinations trigger active immunity, infection produces personal antibodies, and antibiotics treat bacteria, not immunity. This natural transfer protects newborns, a concept nurses teach in infant care.
Question 3 of 5
The nurse is preparing to do a focused assessment of the abdomen on an assigned client. Which of the following is most important for the nurse to do prior to the examination?
Correct Answer: A
Rationale: Emptying the bladder before an abdominal assessment prevents distension from interfering with palpation or auscultation, most critical for accuracy. Equipment, position, and dressings follow. Nurses ensure this for reliable findings.
Question 4 of 5
The nurse finds that a newborn has a mean systolic pressure of 75 mmHg. How would this blood pressure be best described?
Correct Answer: A
Rationale: A newborn's systolic pressure of 75 mmHg is normal (range 65-95), not low or high. Nurses assess this for neonatal stability.
Question 5 of 5
Which physiological effect of immobility can lead to impaired circulation and increased risk of deep vein thrombosis?
Correct Answer: C
Rationale: Immobility reduces cardiac output by limiting muscle activity that aids venous return, leading to sluggish circulation and blood pooling, heightening deep vein thrombosis risk. This cardiovascular effect stems from less demand on the heart and poor venous flow, a serious concern in bedridden patients. Reduced breathing capacity affects oxygenation, not circulation directly, while muscle weakness and bone density loss impact strength and structure, not blood flow. Nurses monitor this to prevent clot formation, using interventions like leg exercises or compression devices, recognizing that circulation impairment is a critical link to thrombosis in prolonged stillness.