ATI LPN
HESI LPN Fundamentals Test Questions
Question 1 of 5
Which assessment finding indicates a potential cardiovascular complication of immobility?
Correct Answer: C
Rationale: Dependent edema swelling in lower body parts points to a cardiovascular complication of immobility, arising from poor venous return and fluid buildup due to stasis. Heart rate or cardiac output increases aren't specific to this, and normal blood pressure doesn't flag issues. Nurses check for this to detect circulatory problems early, applying measures like elevation or compression to reduce risks like thrombosis, vital in managing immobility's cardiovascular effects.
Question 2 of 5
The nurse is caring for a client with a tracheostomy receiving oxygen therapy. Which intervention should the nurse prioritize to prevent infection and ensure proper oxygen delivery?
Correct Answer: C
Rationale: Applying a sterile dressing (C) over the tracheostomy site prevents infection by barring pathogens and supports oxygen delivery by maintaining a clean airway. Suctioning (A) clears secretions but not infection. Hourly RR (B) is monitoring, not prevention. Humidified oxygen (D) aids comfort, not sterility. Sterile dressing, per tracheostomy care, is the priority.
Question 3 of 5
Which of the following skin lesions is associated with Lyme's disease?
Correct Answer: A
Rationale: A bull's-eye rash (erythema migrans) is a hallmark of Lyme disease, appearing at the tick bite site with a red center and concentric rings, signaling Borrelia infection. Papular crusts, bullae, or plaques align with other conditions, not Lyme's classic presentation. Nurses recognize this lesion for early diagnosis, prompting timely antibiotic treatment to prevent complications like arthritis or neurological issues.
Question 4 of 5
A client with schizophrenia is receiving depot injections of Haldol Decanoate (haloperidol decanoate). The client should be told to return for his next injection in:
Correct Answer: C
Rationale: Haldol Decanoate, a long-acting antipsychotic depot, is typically administered every 4 weeks, maintaining steady haloperidol levels for schizophrenia control, per psychiatric pharmacology. Shorter intervals suit oral forms; 6 weeks risks gaps. Nurses schedule this, instructing clients on timing to ensure compliance and symptom stability, balancing convenience with therapeutic efficacy.
Question 5 of 5
A client with Alzheimer's disease has been prescribed Aricept (donepezil). Which statement is true regarding the action of the medication?
Correct Answer: C
Rationale: Aricept (donepezil) increases brain acetylcholine by inhibiting cholinesterase, enhancing cognition in Alzheimer's disease a primary mechanism for symptom management, not cure. It doesn't prevent progression, reverse memory loss, or target depression directly. Nurses explain this action, setting realistic expectations, aiding families in understanding its role in slowing cognitive decline temporarily.