ATI LPN
LPN Fundamentals of Nursing Course Questions
Question 1 of 5
When assessing the urinary output of a client who has had extracorporeal lithotripsy, the nurse can expect to find:
Correct Answer: A
Rationale: Cherry-red urine clearing over time is expected post-extracorporeal lithotripsy, reflecting initial hematuria from stone fragmentation, then resolution as bleeding subsides a normal progression. Orange tinge, persistent dark red, or smoky urine suggest other issues. Nurses monitor this to confirm procedure success, reassuring clients while watching for prolonged bleeding or infection.
Question 2 of 5
The nurse is performing an assessment on a client with a closed head injury. An early indicator of increased intracranial pressure is:
Correct Answer: D
Rationale: Decreased level of consciousness is an early sign of increased intracranial pressure (ICP) in closed head injury, reflecting brain compression before late signs like widening pulse pressure (Cushing's triad) emerge blood pressure and pupils may remain normal initially. Nurses prioritize this subtle change, reporting it promptly, as it guides interventions like mannitol or hyperventilation to reduce ICP and prevent herniation.
Question 3 of 5
The nurse is preparing a client with Addison's disease for discharge. The nurse should tell the client to:
Correct Answer: A
Rationale: Reporting excessive weight gain signals fluid retention in Addison's disease, indicating adrenal insufficiency worsening fluid limits, symptom-only dosing, and temperature avoidance aren't key. Nurses teach this, ensuring medication adherence, critical for managing this endocrine condition.
Question 4 of 5
A 4-year-old with cerebral palsy is being prepared for rehabilitative services. Which nursing intervention will help ready the child?
Correct Answer: B
Rationale: Suckers and pinwheels strengthen tongue movement in cerebral palsy, aiding speech and swallowing for rehab patching, music, or games target different goals. Nurses use this, enhancing oral motor skills, preparing kids for therapy in this neurologic condition.
Question 5 of 5
The nurse is caring for a client with a history of CHF who complains of difficulty breathing when lying flat. The nurse documents this finding as:
Correct Answer: A
Rationale: Orthopnea, dyspnea when lying flat, is common in CHF due to fluid redistribution paroxysmal nocturnal dyspnea is sudden at night, exertion dyspnea is activity-related, and platypnea is rare. Nurses note this, adjusting position, aiding comfort in heart failure management.