ATI LPN
LPN Fundamentals of Nursing ATI Questions
Question 1 of 5
Which assessment finding indicates the need for assistive devices during mobilization and transfers?
Correct Answer: C
Rationale: A history of falls and unsteady gait signals the need for assistive devices like walkers during mobilization, highlighting instability and fall risk in transfers. Strong muscles, full joint motion, or upper body strength suggest less need, but past incidents outweigh these. Nurses assess this to tailor safety measures, ensuring devices support patients with proven mobility challenges, preventing further injuries effectively.
Question 2 of 5
The nurse is caring for a client receiving oxygen therapy via a face tent. Which action by the nurse is important to ensure proper oxygen delivery?
Correct Answer: C
Rationale: Frequently checking for condensation (C) in a face tent ensures unobstructed oxygen flow, as buildup reduces delivery. Snug fit (A) restricts airflow in tents. Nose breathing (B) isn't required tents cover both. Q8h SpO2 (D) is too infrequent. Condensation checks, per nursing standards, maintain therapy effectiveness.
Question 3 of 5
A client with schizophrenia is receiving chlorpromazine (Thorazine) 400 mg twice a day. An adverse side effect of the medication is:
Correct Answer: B
Rationale: Chlorpromazine, an antipsychotic, can cause elevated temperature as an adverse effect, linked to neuroleptic malignant syndrome or anticholinergic effects disrupting thermoregulation a serious risk requiring monitoring. Photosensitivity, weight gain, or hypertension are possible but less acute. Nurses watch for fever to intervene swiftly, ensuring client safety during schizophrenia treatment.
Question 4 of 5
The nurse is caring for a client following the reimplantation of the thumb and index finger. Which finding should be reported to the physician immediately?
Correct Answer: B
Rationale: Coolness and discoloration post-reimplantation signal compromised circulation, an urgent issue requiring physician notification to prevent tissue loss vascular integrity is critical. Mild fever, pain, or movement issues are expected or less acute. Nurses report this promptly, facilitating rapid intervention like surgical reassessment, preserving the reattached digits' viability.
Question 5 of 5
The nurse is caring for a client with a Sengstaken-Blakemore tube. Which finding should be reported to the physician immediately?
Correct Answer: B
Rationale: A hematocrit of 30% post-Sengstaken-Blakemore tube insertion signals significant bleeding from esophageal varices, requiring immediate physician report normal is 38-50%, and this drop suggests hemorrhage despite tamponade. Nausea, thirst, or stable pressures are less urgent. Nurses flag this drop, prompting transfusion or escalation, critical to stabilize a client in acute liver failure.