ATI LPN
LPN Fundamentals Practice Questions Questions
Question 1 of 5
The nurse is to administer digoxin (Lanoxin) elixir to a 6-month-old with a congenital heart defect. The nurse auscultates an apical pulse rate of 100. The nurse should:
Correct Answer: B
Rationale: For a 6-month-old, an apical pulse of 100 beats per minute falls within the normal range (80-150 bpm), indicating it's safe to administer digoxin, a cardiac glycoside for heart defects, without delay. Recording and calling the physician or holding the dose isn't warranted unless the rate drops below 90-100 bpm (per pediatric guidelines). Rechecking post-administration isn't standard unless symptoms arise. Nurses document and proceed, ensuring timely therapy while monitoring for toxicity signs like bradycardia later.
Question 2 of 5
The nurse is preparing to administer regular insulin to a client with type 1 diabetes. Before administering the insulin, the nurse should:
Correct Answer: A
Rationale: Rotating the vial between hands mixes regular insulin gently, ensuring even suspension without denaturing it warming, shaking, or large needles risk potency loss or tissue damage. Nurses use this technique, confirming clarity, for safe, effective glycemic control in type 1 diabetes.
Question 3 of 5
The nurse is providing dietary teaching for a client with a history of renal calculi. Which dietary selection reflects an understanding of the nurse's teaching?
Correct Answer: C
Rationale: Coffee, carrot sticks, and roast beef suit renal calculi prevention, avoiding oxalate-rich (cocoa, spinach) or calcium-binding (tea, peanut butter) foods cola's phosphates also risk stones. Nurses teach low-oxalate diets, reducing recurrence, supporting kidney health in at-risk clients.
Question 4 of 5
The physician has ordered Stadol (butorphanol) for a post-operative client. The nurse knows that the medication is having its intended effect if the client:
Correct Answer: A
Rationale: Being asleep 30 minutes post-Stadol indicates effective pain relief and sedation, its intended effect post-op extra food, urine output, or less nausea aren't primary goals. Nurses monitor response, ensuring rest and pain control, critical for recovery in surgical care.
Question 5 of 5
The physician has prescribed Cognex (tacrine) for a client with dementia. The nurse should monitor the client for adverse reactions, which include:
Correct Answer: B
Rationale: Elevated liver enzymes are a key adverse reaction to Cognex, requiring monitoring in dementia appetite, BP, and memory aren't primary concerns. Nurses check LFTs, ensuring safety, critical for managing Alzheimer's medication risks.