ATI LPN
LPN Fundamentals Final Exam Questions
Question 1 of 5
The nurse is teaching a group of parents about gross motor development of the toddler. Which behavior is an example of the normal gross motor skill of a toddler?
Correct Answer: A
Rationale: Toddlers (1-3 years) typically develop gross motor skills like pulling a toy behind them, reflecting coordination and strength in walking, a milestone by 18-24 months. Copying lines or building tall towers involves fine motor skills, while broad-jumping emerges later, around 3-4 years. Nurses educate parents on these norms to track development, reassuring them that pulling toys aligns with expected physical progress, distinguishing it from more advanced or precise tasks.
Question 2 of 5
The physician has ordered antibiotic therapy for a client with a Gram-negative infection. The nurse can expect the physician to order:
Correct Answer: C
Rationale: Gentamicin, an aminoglycoside, targets Gram-negative infections (e.g., E. coli), effective against their cell walls penicillin and cefazolin favor Gram-positive, erythromycin less so. Nurses anticipate this, monitoring for nephrotoxicity or ototoxicity, ensuring proper dosing for bacterial clearance in this client.
Question 3 of 5
The nurse is caring for a client with AIDS who has a new order for captopril (Capoten). The nurse should monitor the client for:
Correct Answer: B
Rationale: Hypotension is a key side effect of captopril (ACE inhibitor) in AIDS clients, due to vasodilation hyperkalemia is possible but less immediate, hypoglycemia isn't linked, and urine output may not increase. Nurses check blood pressure frequently, ensuring safety, especially with AIDS-related comorbidities affecting fluid balance.
Question 4 of 5
The nurse is caring for a client with a fractured tibia who has just received a cast. Following application of the cast, the client complains of increased pain. The nurse should:
Correct Answer: B
Rationale: Administering pain medication as ordered addresses increased pain post-casting for a fractured tibia, likely from swelling elevation helps but isn't enough, removal is premature, and ice over plaster is less effective. Nurses assess neurovascular status, ensuring comfort while monitoring for compartment syndrome in orthopedic care.
Question 5 of 5
The nurse is caring for a client following the reimplantation of the thumb and index finger. Which finding should be reported to the physician immediately?
Correct Answer: B
Rationale: Coolness and discoloration of reimplanted digits signal vascular compromise, needing urgent reporting mild fever, pain, and stiffness are expected. Nurses monitor perfusion, acting fast, preserving viability in this surgical emergency.