ATI LPN
LPN Fundamentals Exam Questions
Question 1 of 5
Which data would be of greatest concern to the nurse when completing the nursing assessment of a 68-year-old woman hospitalized due to Pneumonia?
Correct Answer: C
Rationale: Capillary refill greater than 3 seconds and buccal cyanosis signal severe oxygenation issues, critical in a pneumonia patient. Delayed refill indicates poor peripheral perfusion, while buccal cyanosis (blue-tinged oral mucosa) suggests central hypoxemia both life-threatening if untreated. Pneumonia impairs gas exchange, and these findings suggest worsening respiratory failure, demanding urgent intervention like oxygen therapy or escalation. Orientation to time, place, and date is reassuring, showing intact cognition, not immediate danger. Clear breath sounds are positive, indicating no consolidation or fluid, though not definitive in pneumonia's patchy presentation. Hemoglobin of 13 g/dl is normal, ensuring adequate oxygen-carrying capacity. The perfusion and oxygenation deficits outweigh other data, prioritizing immediate action to stabilize this vulnerable 68-year-old, aligning with nursing's focus on acute physiological threats.
Question 2 of 5
Eyedrops should be administered in which anatomic location:
Correct Answer: D
Rationale: Eyedrops are administered into the lower conjunctival sac formed by pulling the lower eyelid down ensuring medication spreads across the eye evenly when the patient blinks. This maximizes absorption and minimizes runoff, critical for efficacy (e.g., glaucoma drops). The inner canthus (near the nose) risks drainage into the tear duct, reducing dose and potentially causing systemic effects. 'Other canthus' likely means outer canthus (lateral), less effective for retention, as it's not a sac. The upper conjunctival sac is harder to access, requiring awkward lid lifting, and less practical. The lower sac's anatomical suitability holding drops naturally makes it the standard site, ensuring therapeutic delivery and patient comfort, per ophthalmic administration protocols.
Question 3 of 5
A walk-in client enters into the clinic with a chief complaint of abdominal pain and diarrhea. The nurse takes the client's vital signs hereafter. What phase of nursing process is being implemented here by the nurse?
Correct Answer: A
Rationale: Taking vital signs is part of the assessment phase, gathering data about the client's condition.
Question 4 of 5
The nurse is ordered to administer ampicillin capsule TID p.o. The nurse should give the medication...
Correct Answer: A
Rationale: TID p.o. means three times a day by mouth, regardless of meal timing unless specified.
Question 5 of 5
The family of an accident victim who has been declared brain-dead seems amenable to organ donation. What should the nurse do?
Correct Answer: B
Rationale: Listening and providing honest answers supports informed decision-making.