ATI LPN
HESI LPN Fundamentals Test Questions
Question 1 of 5
The nurse is caring for a client with a tracheostomy receiving oxygen therapy. Which intervention should the nurse prioritize to prevent infection and ensure proper oxygen delivery?
Correct Answer: C
Rationale: Applying a sterile dressing (C) over the tracheostomy site prevents infection by barring pathogens and supports oxygen delivery by maintaining a clean airway. Suctioning (A) clears secretions but not infection. Hourly RR (B) is monitoring, not prevention. Humidified oxygen (D) aids comfort, not sterility. Sterile dressing, per tracheostomy care, is the priority.
Question 2 of 5
A client with schizophrenia is receiving depot injections of Haldol Decanoate (haloperidol decanoate). The client should be told to return for his next injection in:
Correct Answer: C
Rationale: Haldol Decanoate, a long-acting antipsychotic depot, is typically administered every 4 weeks, maintaining steady haloperidol levels for schizophrenia control, per psychiatric pharmacology. Shorter intervals suit oral forms; 6 weeks risks gaps. Nurses schedule this, instructing clients on timing to ensure compliance and symptom stability, balancing convenience with therapeutic efficacy.
Question 3 of 5
A client with Alzheimer's disease has been prescribed Aricept (donepezil). Which statement is true regarding the action of the medication?
Correct Answer: C
Rationale: Aricept (donepezil) increases brain acetylcholine by inhibiting cholinesterase, enhancing cognition in Alzheimer's disease a primary mechanism for symptom management, not cure. It doesn't prevent progression, reverse memory loss, or target depression directly. Nurses explain this action, setting realistic expectations, aiding families in understanding its role in slowing cognitive decline temporarily.
Question 4 of 5
The nurse is caring for a client with obsessive-compulsive disorder (OCD). Which activity is most appropriate for this client?
Correct Answer: C
Rationale: Folding laundry in a quiet area suits OCD, offering a repetitive, calming task to reduce anxiety card games, groups, or movies may overwhelm with social demands or unpredictability. Nurses assign this, aligning with compulsive tendencies, fostering control and stability in treatment.
Question 5 of 5
The nurse is caring for a client with a history of rheumatoid arthritis. The nurse should assess the client for:
Correct Answer: A
Rationale: Limited range of motion in affected joints is a hallmark of rheumatoid arthritis due to inflammation and stiffness weight gain, weather relief, or back radiation aren't typical. Nurses assess joints, planning interventions like PT, supporting mobility in chronic disease care.