ATI LPN
LPN Fundamentals of Nursing Test Questions
Question 1 of 5
The physician writes an order for 'progressive ambulation, as tolerated.' The RN writes an order for 'Dangle for 5 min. 12 h post op and stand at bedside 24 h post op.' The LVN assigned to care for this client should do which of the following?
Correct Answer: C
Rationale: For an LVN following orders for progressive ambulation, checking vital signs before dangling or standing is essential to ensure client safety. Post-operative clients may experience instability like low blood pressure making assessment critical before activity. Calling the physician or State Board is unnecessary unless orders conflict, and client agreement alone doesn't guarantee safety. This action aligns with the LVN's role in monitoring and implementing care, preventing complications like syncope while adhering to the RN's specific directives.
Question 2 of 5
The physician of your assigned client tells you that the client has a heart murmur that can be detected by direct auscultation. You realize that the physician is telling you which of the following things?
Correct Answer: A
Rationale: Direct auscultation means using a stethoscope to hear a murmur, standard for heart sounds. Ear alone, ultrasound, or Doppler aren't implied. Nurses apply this in cardiac exams.
Question 3 of 5
When working with clients experiencing pain, you will define their pain in regard to whether they have pain or not and how intense it is based on which of the following things?
Correct Answer: C
Rationale: Pain is defined by the client's self-report, per McCaffery's standard, not nurse expertise, cause, or research. Nurses honor this subjective experience for care.
Question 4 of 5
Which respiratory complication is commonly associated with immobility?
Correct Answer: B
Rationale: Immobility often causes hypoxia due to shallow breathing and limited lung expansion, reducing oxygen delivery to tissues a frequent issue in sedentary patients. This stems from decreased chest movement, risking conditions like atelectasis. Excessive breathing isn't typical, as immobility slows respiratory effort, not accelerates it. Low or high blood pressure relates more to cardiovascular dynamics than lung function in this context. Nurses address this by encouraging deep breathing or repositioning, countering the oxygen deficit that immobility fosters, ensuring respiratory health remains a priority in care planning.
Question 5 of 5
A client with severe hypoxemia requires oxygen therapy. What is the appropriate delivery method for this client?
Correct Answer: D
Rationale: For a client with severe hypoxemia, a non-rebreather mask (D) is the most appropriate delivery method because it delivers the highest oxygen concentration up to 95% via a reservoir bag and one-way valves that prevent rebreathing exhaled air, ensuring maximal oxygen intake. Nasal cannula (A) provides low flow (24-44% oxygen) and suits mild hypoxemia, not severe cases. Simple face mask (B) offers moderate oxygen (40-60%) for stable needs, inadequate for severe hypoxemia. Venturi mask (C) delivers precise oxygen (24-50%) for conditions like COPD but not the high levels needed here. The non-rebreather's design addresses acute oxygen deficits effectively, critical in emergencies like severe hypoxemia, aligning with respiratory care standards to prevent tissue hypoxia and organ damage, per AACN guidelines.