ATI LPN
Quizlet LPN Fundamentals Questions
Question 1 of 5
When counting the apical pulse during the physical assessment, it is the most accepted practice for the nurse to count the apical pulse in which of the following ways?
Correct Answer: D
Rationale: Counting the apical pulse for one full minute is most accepted, ensuring accuracy, especially if irregular. Shorter counts or dual pulse checks risk error. Nurses rely on this for precise cardiac assessment.
Question 2 of 5
Which musculoskeletal complication can occur due to prolonged immobility?
Correct Answer: C
Rationale: Prolonged immobility leads to osteoporosis, where bones weaken and become brittle due to reduced weight-bearing activity and mineral loss a significant risk for fractures. Muscle strength and joint flexibility decline, not improve, with disuse, and contractures become more likely as muscles shorten. Nurses combat this with range-of-motion exercises or weight-bearing support, recognizing that bone density loss is a pressing musculoskeletal threat in long-term immobility, necessitating preventive strategies to maintain skeletal health and patient mobility.
Question 3 of 5
Which intervention should the nurse prioritize to promote effective airway clearance in a client with impaired oxygenation?
Correct Answer: C
Rationale: Encouraging deep breathing and coughing (C) is the priority to promote airway clearance in impaired oxygenation, as it mobilizes secretions, preventing obstruction and enhancing gas exchange. Incentive spirometry (A) expands lungs but doesn't directly clear airways. Bronchodilators (B) relieve bronchospasm, aiding airflow, not secretion removal. High Fowler's (D) improves lung expansion but doesn't address secretions. Deep breathing inflates alveoli, while coughing expels mucus, directly tackling the root of impaired oxygenation, per respiratory therapy principles, reducing risks like atelectasis or pneumonia.
Question 4 of 5
Which statement by a client on oxygen therapy indicates the need for further education?
Correct Answer: B
Rationale: Securing tubing under furniture legs (B) indicates a need for education, as it risks kinking or disconnection, disrupting oxygen flow and posing a safety hazard. Avoiding smoking (A) and flames (C) are correct safety measures. Water-based moisturizer (D) is appropriate. Proper tubing management education, per safety standards, prevents accidents.
Question 5 of 5
Which of the following medication orders needs further clarification?
Correct Answer: C
Rationale: The Coumadin order (10 mg PO) lacks a frequency (e.g., daily), making it incomplete and requiring clarification to ensure safe anticoagulation dosing, critical due to bleeding risks. Other orders specify timing and conditions clearly Darvocet PRN, Mysoline thrice daily, Premarin daily. Nurses seek clarification to prevent errors, ensuring precise administration aligned with therapeutic goals.