ATI LPN
LPN Fundamentals of Nursing Test Questions
Question 1 of 4
The physician has ordered a 24-hour urine collection for a client. The nurse should:
Correct Answer: A
Rationale: Discarding the first voiding starts a 24-hour urine collection accurately, as it reflects prior kidney output subsequent urine measures the exact period. Saving all, catheterizing, or hourly voiding skews or complicates results. Nurses explain this, ensuring precise diagnostic data for renal or metabolic assessment.
Question 2 of 4
An 18-month-old is being discharged following hypospadias repair. Which instruction should be included in the nurse's discharge teaching?
Correct Answer: A
Rationale: Avoiding rocking horse play post-hypospadias repair prevents urethral trauma compresses don't target surgical pain, diapering continues, and diet isn't specific. Nurses teach activity limits, ensuring healing, critical for this urologic surgery.
Question 3 of 4
The nurse is preparing to administer an injection of Vitamin B12 to a client. Which statement indicates that the client needs additional teaching?
Correct Answer: A
Rationale: Saying monthly Vitamin B12 injections are needed for only 6 months shows misunderstanding pernicious anemia requires lifelong treatment, unlike temporary courses. Urine discoloration (from excretion), anemia improvement, and refrigeration are correct. Nurses clarify this, ensuring adherence, vital for managing B12 deficiency long-term.
Question 4 of 4
The nurse is caring for a client with a history of peptic ulcer disease who complains of acute epigastric pain. This finding most likely indicates:
Correct Answer: A
Rationale: Acute epigastric pain in peptic ulcer disease likely signals perforation, a surgical emergency healing reduces pain, low acid doesn't cause it, and obstruction causes vomiting. Nurses report this, suspecting peritonitis, critical for timely intervention in this GI crisis.