ATI LPN
LPN Fundamentals Final Exam Questions
Question 1 of 4
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 2 of 4
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 3 of 4
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.
Question 4 of 4
The nurse is caring for a client with a suspected pulmonary embolism. Which finding supports this diagnosis?
Correct Answer: B
Rationale: Chest pain with inspiration (pleuritic) supports pulmonary embolism, from infarcted lung tissue absent breath sounds suggest pneumothorax, wheezing fits asthma, and low fever is nonspecific. Nurses report this, aiding rapid diagnosis, vital for this respiratory emergency.