ATI LPN
Nursing Fundamental Physical Assessment LPN Questions
Question 1 of 4
The nurse is preparing a client with myasthenia gravis for a Tensilon test. The nurse should have which of the following equipment available at the bedside?
Correct Answer: C
Rationale: An intubation tray is essential for a Tensilon test in myasthenia gravis, as edrophonium can trigger a cholinergic crisis, worsening weakness and risking respiratory failure oxygen or monitors help but airway readiness is critical. Nurses prepare this, ensuring safety during diagnosis, ready to assist breathing if the test overstimulates acetylcholine.
Question 2 of 4
The nurse is caring for a client with a history of diverticulitis. Which finding is associated with an acute episode of diverticulitis?
Correct Answer: A
Rationale: Left lower quadrant pain is a hallmark of acute diverticulitis, reflecting inflammation in the sigmoid colon bright red bleeding suggests diverticulosis bleed, a board-like abdomen indicates perforation (a complication), and fever is less specific. Nurses assess this pain, often cramping, reporting it to guide antibiotics and rest, preventing perforation in this gastrointestinal emergency.
Question 3 of 4
The nurse calculates the amount of an antibiotic for injection to be given to an infant. The amount of medication to be administered is 1.25mL. The nurse should:
Correct Answer: A
Rationale: Dividing 1.25mL into two vastus lateralis injections (0.625mL each) suits infants, as their small muscles can't handle over 1mL dorsogluteal and ventrogluteal are riskier. Nurses split doses, ensuring safe absorption, key for pediatric medication delivery.
Question 4 of 4
The nurse is providing discharge teaching for a client with a new colostomy. Which statement by the client indicates the need for additional teaching?
Correct Answer: B
Rationale: Saying popcorn and nuts are fine post-colostomy shows misunderstanding high-fiber, hard-to-digest foods risk blockage. Emptying at one-third, changing every 3-5 days, and fluids are correct. Nurses clarify diet, preventing complications, key for stoma adaptation.