ATI LPN
LPN Fundamentals Questions Questions
Question 1 of 5
The physician has prescribed Cognex (tacrine) for a client with dementia. The nurse should monitor the client for adverse reactions, which include:
Correct Answer: B
Rationale: Tacrine (Cognex) for dementia commonly elevates liver enzymes, a hepatotoxic effect requiring monitoring, as it can lead to serious liver damage key in Alzheimer's management. Thirst, hypotension, or dry mouth aren't primary concerns. Nurses track liver function tests, educating families on this risk, balancing cognitive benefits against potential toxicity.
Question 2 of 5
The nurse is caring for a client following a Billroth II procedure. Post-operatively, the nurse should position the client in the:
Correct Answer: D
Rationale: Side-lying position post-Billroth II (gastrectomy) prevents dumping syndrome by slowing gastric emptying and reduces aspiration risk from nasogastric drainage supine or Fowler's increases reflux, prone is impractical. Nurses use this positioning, monitoring for rapid pulse or nausea, ensuring comfort and stability after gastric surgery.
Question 3 of 5
The nurse is caring for a client with a history of a fractured pelvis. Six months after the injury, the client continues to complain of pain at the site. This is most likely due to:
Correct Answer: C
Rationale: Improper alignment during healing likely causes persistent pain six months post-pelvic fracture, as misalignment stresses healed bone scar tissue, infection, or psychosomatic pain are less common. Nurses assess, suggesting imaging, aiding pain management in recovery.
Question 4 of 5
At the 6-week check-up, the mother asks when she can expect the baby to sleep all night. The nurse should tell the mother that most infants begin to sleep all night by age:
Correct Answer: C
Rationale: Most infants sleep through the night by 3-4 months as circadian rhythms mature earlier is rare, later suggests issues. Nurses reassure moms, advising consistent routines, supporting parental adjustment in early development.
Question 5 of 5
The nurse is preparing to administer heparin via subcutaneous injection. The nurse should:
Correct Answer: C
Rationale: Using a 1-inch needle ensures heparin reaches subcutaneous tissue aspiration risks bleeding, massage disperses drug (avoided), and upper arm isn't ideal (abdomen is). Nurses use proper depth, minimizing bruising, key for anticoagulation therapy.