ATI LPN
LPN Fundamentals Study Guide Questions
Question 1 of 5
Which gastrointestinal effect is commonly seen in immobile patients?
Correct Answer: C
Rationale: Constipation frequently affects immobile patients as reduced movement slows peristalsis and increases intestinal water absorption, hardening stool. This disruption in bowel function is a well-documented outcome of limited physical activity, requiring nursing interventions like hydration or laxatives. Appetite doesn't typically rise with immobility, nor does peristalsis speed up it diminishes. Diarrhea isn't a standard effect unless other factors intervene. Nurses tackle this to restore regularity, understanding that immobility's impact on digestion underscores the need for proactive gastrointestinal care in such patients.
Question 2 of 5
When administering oxygen therapy, which intervention should the nurse prioritize to ensure the delivery of the prescribed oxygen concentration?
Correct Answer: C
Rationale: Monitoring oxygen saturation continuously (C) ensures the prescribed oxygen concentration is effective, allowing real-time adjustments to maintain target SpO2. Hourly RR (A) is indirect. Q4h flow checks (B) miss immediate issues. Snug mask (D) aids fit, not concentration. Continuous SpO2, per nursing protocols, guides safe delivery.
Question 3 of 5
Which of the following is a common complaint of the client with end-stage renal failure?
Correct Answer: B
Rationale: Itching is a frequent complaint in end-stage renal failure due to uremia, where accumulated waste products irritate skin nerves a hallmark of kidney dysfunction. Weight loss, tinnitus, or bruising may occur but aren't as universally tied to this stage. Nurses address this symptom with skin care and dialysis adjustments, educating clients on its cause, improving quality of life amid chronic illness.
Question 4 of 5
A client with AIDS is admitted for treatment of wasting syndrome. Which of the following dietary modifications can be used to compensate for the limited absorptive capability of the intestinal tract?
Correct Answer: D
Rationale: Small, frequent meals compensate for limited intestinal absorption in AIDS-related wasting syndrome, delivering nutrients gradually to maximize uptake despite diarrhea or malabsorption, common in advanced HIV. Cooking foods, yogurt, or fluids help but don't address volume capacity directly. Nurses implement this strategy to combat weight loss, ensuring energy and protein needs are met, supporting immune function and strength.
Question 5 of 5
The physician has ordered Cortisporin ear drops for a 2-year-old. To administer the ear drops, the nurse should:
Correct Answer: A
Rationale: For a 2-year-old, pulling the ear down and back straightens the canal for Cortisporin drops, ensuring medication reaches the infection site standard for children under 3. Up-and-back suits adults; straight out or undisturbed risks poor delivery. Nurses use this technique, teaching parents for home use, optimizing treatment efficacy.