ATI LPN
LPN Fundamentals Exam 1 Quizlet Questions
Question 1 of 5
The physician has ordered Dilantin (phenytoin) for a client with generalized seizures. When planning the client's care, the nurse should:
Correct Answer: D
Rationale: Phenytoin (Dilantin) causes gingival hyperplasia, necessitating oral hygiene and gum care every shift to prevent overgrowth and infection a key nursing focus in seizure management. Intake/output, pulse checks, or meal timing aren't priorities. Nurses plan this to maintain oral health, enhancing client comfort and medication adherence.
Question 2 of 5
The nurse is caring for a client with a diagnosis of chronic obstructive pulmonary disease (COPD). Which oxygen delivery method is most appropriate for the client with COPD?
Correct Answer: A
Rationale: Nasal cannula at 2 liters per minute suits COPD, providing low-flow oxygen without suppressing hypoxic drive higher flows or masks (Venturi, simple, non-rebreather) risk hypercapnia. Nurses monitor saturation, ensuring safe oxygenation tailored to COPD's chronic retention physiology.
Question 3 of 5
The nurse has been teaching the role of diet in regulating blood pressure to a client with hypertension. Which meal selection indicates that the client understands his new diet?
Correct Answer: C
Rationale: Oatmeal, apple juice, and dry toast with coffee show low-sodium, heart-healthy choices for hypertension cornflakes with milk, bacon, and ham are sodium-rich. Nurses reinforce this, reducing cardiovascular strain, supporting BP control through diet.
Question 4 of 5
The nurse is caring for a client with a closed head injury. Which finding should be reported to the physician immediately?
Correct Answer: C
Rationale: A Glasgow Coma Scale drop from 14 to 11 signals worsening neurological status in a closed head injury, indicating rising intracranial pressure (ICP) urine output (150mL/4hrs), headache, and BP (130/80) are less acute. Nurses report this promptly, as it may require imaging or intervention to prevent herniation in this critical condition.
Question 5 of 5
The nurse is providing discharge teaching for a client with COPD. Which instruction should be included?
Correct Answer: A
Rationale: Pursed-lip breathing during activity prolongs exhalation, reducing air trapping in COPD caffeine overstimulates, supine worsens dyspnea, and bronchodilators aid exercise. Nurses teach this technique, improving oxygenation, essential for managing chronic respiratory disease.