ATI LPN
ATI Fundamentals Proctored Exam LPN Questions
Question 1 of 5
The physician has ordered a 2-gram sodium diet for a client with hypertension. Which food should be limited due to its sodium content?
Correct Answer: A
Rationale: Potato chips are high in sodium often 120-180 mg per ounce exceeding a 2-gram (2000 mg) daily limit for hypertension, necessitating restriction to control blood pressure. Baked chicken, steamed broccoli, and fresh apples have minimal natural sodium, fitting the diet. Nurses educate clients on hidden sodium in processed snacks, promoting fresh alternatives to reduce cardiovascular strain, aligning with therapeutic goals for long-term health management.
Question 2 of 5
The nurse is preparing a client with gout for discharge. Which dietary selection reflects an understanding of the client's condition?
Correct Answer: A
Rationale: Broiled chicken, rice, and iced tea suit gout, avoiding purine-rich foods (sardines, shrimp) or alcohol (wine, beer) that raise uric acid lima beans and spinach also contribute less but aren't ideal. Nurses teach this, reducing flare-ups, supporting joint health and client compliance.
Question 3 of 5
The nurse is caring for a client with a closed reduction of a fractured femur. Following the reduction, the nurse should check the client's affected extremity every 15-30 minutes for:
Correct Answer: B
Rationale: Checking color and pulses every 15-30 minutes post-reduction detects circulatory compromise in a fractured femur warmth, pain, or alignment are secondary. Nurses assess distal perfusion, reporting pallor or pulselessness, preventing complications like ischemia in orthopedic care.
Question 4 of 5
The nurse is caring for a client with a suspected myocardial infarction. Which laboratory value is most specific for confirming the diagnosis?
Correct Answer: A
Rationale: Troponin I is the most specific marker for myocardial infarction, rising within hours and staying elevated for days CK and myoglobin are less specific, LDH is outdated. Nurses monitor this, correlating with ECG and symptoms, aiding rapid diagnosis and treatment.
Question 5 of 5
A client with diabetes mellitus has a prescription for Glucotrol XL (glipizide). The client should be instructed to take the medication:
Correct Answer: B
Rationale: Taking Glucotrol XL with breakfast aligns with its peak action to control post-meal glucose in diabetes bedtime, pre-lunch, or post-dinner mistime it. Nurses teach this, ensuring glycemic control, vital for managing type 2 diabetes effectively.