ATI LPN
LPN Fundamentals of Nursing ATI Questions
Question 1 of 5
The nurse is planning care for several clients in an outpatient clinic. Which client requires follow-up care due to a chronic condition?
Correct Answer: C
Rationale: Chronic conditions need ongoing care, and the COPD client with wheezing and coughing signals this. COPD, irreversible lung damage, shows chronic symptoms shortness of breath, cough requiring follow-up like inhaler adjustments or oxygen therapy to manage exacerbations. The sprained ankle and burn are acute, healing with time, not chronic. Diabetes is chronic, but the toe wound is an acute complication needing immediate care, not long-term follow-up here. COPD's persistent nature unlike acute injuries demands sustained nursing, monitoring lung function or educating on triggers, aligning with chronic care's focus on stability and preventing decline, critical in outpatient settings where continuity matters.
Question 2 of 5
The nurse explains to the client that the cast removal will be completed by cutting it open with a cast saw. The client reports pruritus following removal of the cast, and the nurse __.
Correct Answer: A
Rationale: Post-cast removal, pruritus is common due to dry skin; applying emollient lotion (A) soothes it. Rationale: Lotion hydrates skin, reducing irritation, a standard nursing intervention post-immobilization.
Question 3 of 5
The nurse is determining the need for suctioning in a client with an endotracheal tube (ETT) attached to a mechanical ventilator. Which observation by the nurse is inconsistent with the need for suctioning?
Correct Answer: D
Rationale: Low peak inspiratory pressure (D) suggests a leak, not secretion buildup needing suctioning. Restlessness (A), gurgling (B), and congestion (C) indicate obstruction. D is correct. Rationale: High pressure, not low, accompanies secretion retention, per ventilator management principles.
Question 4 of 5
Initially after a stroke, a client's pupils are equal and reactive to light. Later, the nurse assesses that the right pupil is reacting more slowly than the left and that the systolic blood pressure is beginning to rise. What complication should the nurse consider that the client is developing?
Correct Answer: D
Rationale: Slow pupil reaction and rising systolic BP post-stroke suggest increasing ICP (D), part of Cushing's triad. Spinal (A) or hypovolemic shock (B) don't fit. Herniation (C) is a result, not the process. D is correct. Rationale: ICP rise from stroke edema causes neurological and hemodynamic changes, requiring urgent management, per stroke care protocols.
Question 5 of 5
The nurse is providing post procedure care to a client who had a cardiac catheterization. The client begins to manifest signs and symptoms associated with embolization. Which action should the nurse take?
Correct Answer: A
Rationale: Embolization post-catheterization (e.g., limb pain, pallor) requires immediate provider notification (A) for intervention like thrombolysis. Compress (B), fluids (C), or monitoring (D) are secondary. A is correct. Rationale: Embolism is a vascular emergency; prompt reporting ensures rapid treatment, per cardiac care standards, preventing tissue loss.