ATI LPN
LPN Fundamentals Questions Questions
Question 1 of 9
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 9
Which of the following statement is NOT true about family-centered care?
Correct Answer: C
Rationale: Family-centered care includes family (A), supports needs (B), improves outcomes (D) 'excludes patient' (C) isn't true, patient central, per model. C's exclusion contradicts focus, like with Mr. Gary's family, making it untrue.
Question 3 of 9
Which of the following should be included in a plan of care for a client who is lactose intolerant?
Correct Answer: B
Rationale: Frozen yogurt is digestible due to bacterial breakdown of lactose.
Question 4 of 9
Which of the following statement best describes the pain threshold?
Correct Answer: B
Rationale: Pain threshold is the point where a stimulus is perceived as pain (B), per physiological definition the minimum intensity triggering nociception. Unbearable (A) and highest tolerance (C) describe tolerance, not threshold. Action to stop (D) is behavioral, not sensory. B precisely captures the onset of pain recognition, validated by pain studies, making it the best and correct description.
Question 5 of 9
A client with acute respiratory distress syndrome (ARDS) requires high levels of positive end-expiratory pressure (PEEP). Which oxygen delivery system would be most effective in providing the necessary PEEP?
Correct Answer: C
Rationale: A CPAP mask (C) effectively delivers PEEP in ARDS, maintaining airway pressure to improve oxygenation. Non-rebreather (A) and Venturi (B) don't provide PEEP. BVM (D) is for resuscitation, not continuous PEEP. CPAP supports alveolar recruitment, per critical care standards, vital in ARDS management.
Question 6 of 9
A male patient who had surgery 2 days ago for head and neck cancer is about to make his first attempt to ambulate outside his room. The nurse notes that he is steady on his feet and that his vision was unaffected by the surgery. Which of the following nursing interventions would be appropriate?
Correct Answer: C
Rationale: Accompanying provides support and safety for the first ambulation post-surgery.
Question 7 of 9
The nurse giving discharge instructions advises the client to get out of bed slowly and to get up in stages from lying to sitting to standing. The client understands that the reason for doing this is:
Correct Answer: A
Rationale: Advising a client to rise slowly in stages prevents falls by countering orthostatic hypotension, where blood pressure drops upon standing, risking dizziness. This technique allows gradual adjustment, especially post-illness or surgery. Improved circulation or oxygenation may occur, but fall prevention is the primary goal, not a warm-up. This instruction reduces injury risk, a critical discharge teaching point in nursing to ensure safety at home.
Question 8 of 9
Mr. Gary's lack of education limits his health knowledge. This is an example of?
Correct Answer: A
Rationale: Lack of education limiting health knowledge is social determinants of health (A) social factor, per WHO. Disparity (B) is outcome, therapy (C) treatment, education (D) teaching not cause-specific. A fits determinant's role, making it correct.
Question 9 of 9
The following are correct actions when taking radial pulse except:
Correct Answer: B
Rationale: Using the thumb to palpate radial pulse is wrong e.g., its pulse interferes unlike fingers (index, middle) on wrist, palm down, assessing rate, rhythm, volume, symmetry. Nurses avoid this e.g., training for accurate measurement, per skills.