ATI LPN
LPN Fundamentals Questions
Question 1 of 5
The physician has ordered dressings with mafenide acetate (Sulfamylon) cream for a client with full-thickness burns of the hands and arms. Before dressing changes, the nurse should give priority to:
Correct Answer: A
Rationale: Mafenide acetate cream causes significant burning pain upon application to full-thickness burns, making pain management the priority before dressing changes to ensure client comfort and cooperation. Urinary output, blood counts, and glucose levels are important but secondary in this context, as they monitor systemic effects rather than immediate procedural needs. Nurses administer analgesics proactively, timing them to peak during dressing changes, balancing pain relief with ongoing burn care to support healing and reduce distress.
Question 2 of 5
The nurse is caring for a client following a right total knee replacement. Which of the following should be included in the plan of care?
Correct Answer: D
Rationale: Checking the continuous passive motion (CPM) device is key post-right total knee replacement, ensuring it maintains joint mobility and prevents stiffness flat legs, pillows under knees, or prone positioning counter recovery goals. Nurses monitor CPM settings, promoting circulation and range of motion, critical for rehabilitation success.
Question 3 of 5
The nurse is caring for an infant with a diagnosis of tracheoesophageal fistula. Which nursing diagnosis should receive priority during the infant's preoperative period?
Correct Answer: A
Rationale: Risk for aspiration is the priority preoperatively in tracheoesophageal fistula, as the abnormal esophagus-trachea connection risks pneumonia nutrition, fluids, and coping are secondary until surgery corrects the defect. Nurses position head-up, suctioning secretions, preventing respiratory distress in this congenital emergency.
Question 4 of 5
The physician has ordered dressings with Silvadene (silver sulfadiazine) for a client with burns to the chest and arms. Which action should be taken by the nurse when applying this medication?
Correct Answer: A
Rationale: Applying Silvadene with a sterile-gloved hand ensures even coverage and infection prevention for chest and arm burns occlusive dressings trap moisture, alcohol irritates, and shaving risks injury. Nurses maintain sterility, monitoring for sulfa allergy, promoting healing in burn care.
Question 5 of 5
A 3-year-old is immobilized in a hip spica cast. Which discharge instruction should be given to the parents?
Correct Answer: D
Rationale: Avoiding turns for 24 hours post-spica cast prevents disruption flat bed aids stability, crayons distract, and calorie boosts aren't needed. Nurses teach this, ensuring cast integrity, vital for hip healing in kids.