ATI LPN
LPN Nursing Fundamentals Questions
Question 1 of 5
The nurse notices that the client has a hematocrit of 70 percent. This level of hematocrit will most likely affect the vital signs in which of the following ways?
Correct Answer: A
Rationale: A 70% hematocrit, abnormally high, increases blood viscosity, elevating blood pressure, not lowering pulse or raising temperature. Nurses monitor this for circulatory strain.
Question 2 of 5
Which intervention should the nurse implement to maintain adequate hydration in an immobile patient?
Correct Answer: A
Rationale: Offering room-temperature fluids maintains hydration in immobile patients by encouraging intake comfortably, supporting circulation and organ function. Limiting fluids risks dehydration, straws help but aren't universal, and IV fluids aren't routine. Nurses promote this to ensure fluid balance, adapting to patient preferences, a simple yet effective hydration strategy in restricted mobility cases.
Question 3 of 5
A nurse is caring for a client receiving oxygen therapy via a mask. What is an important nursing intervention to prevent pressure ulcers on the client's face?
Correct Answer: C
Rationale: Placing padding between the mask and skin (C) prevents pressure ulcers by cushioning contact points, reducing friction and pressure. Frequent adjustments (A) disrupt fit. Petroleum jelly (B) compromises seal. Regular assessment (D) detects, not prevents. Padding is proactive, per skin care standards, ensuring mask safety.
Question 4 of 5
An 18-month-old is scheduled for a cleft palate repair. The usual type of restraints for the child with a cleft palate repair are:
Correct Answer: A
Rationale: Elbow restraints are used post-cleft palate repair to prevent an 18-month-old from touching the surgical site, protecting sutures without overly restricting movement. Full arm or wrist restraints are excessive, while mummy restraints are impractical and unnecessary. Nurses apply these to balance safety and comfort, educating parents on their temporary use to ensure healing, critical for speech and feeding outcomes.
Question 5 of 5
The nurse is teaching the client with insulin-dependent diabetes the signs of hypoglycemia. Which of the following signs is associated with hypoglycemia?
Correct Answer: A
Rationale: Tremulousness is a classic sign of hypoglycemia in insulin-dependent diabetes, resulting from the autonomic nervous system's response to low glucose, triggering adrenaline release shakiness signals urgent need for sugar. Slow pulse, nausea, or flushed skin align more with other conditions or hyperglycemia. Nurses teach this symptom for self-recognition, enabling rapid intervention with glucose sources, preventing severe outcomes like seizures, critical for diabetes management.