ATI LPN
LPN Fundamentals of Nursing Course Questions
Question 1 of 5
Which information should be given to the client taking phenytoin (Dilantin)?
Correct Answer: C
Rationale: Phenytoin causes gingival hyperplasia, necessitating more frequent dental visits for gum care to prevent overgrowth and infection a key teaching point for clients. Meals don't enhance efficacy, sleep issues aren't prominent, and it doesn't reduce contraceptive effects significantly. Nurses emphasize oral hygiene, ensuring clients maintain health while managing seizures.
Question 2 of 5
The home health nurse is visiting a client with a halo fixator. Which activity can the client safely perform?
Correct Answer: C
Rationale: Taking a walk around the block is safe with a halo fixator, promoting mobility without risking cervical stability, as the device immobilizes the neck post-injury driving or bending (e.g., cooking, movie seating) strains it. Nurses encourage this activity, teaching balance and caution, ensuring recovery while preventing fixator displacement or injury.
Question 3 of 5
The nurse is performing an assessment on a client with a closed head injury. An early indicator of increased intracranial pressure is:
Correct Answer: D
Rationale: Decreased level of consciousness is an early sign of increased intracranial pressure (ICP) in closed head injury, reflecting brain compression before late signs like widening pulse pressure (Cushing's triad) emerge blood pressure and pupils may remain normal initially. Nurses prioritize this subtle change, reporting it promptly, as it guides interventions like mannitol or hyperventilation to reduce ICP and prevent herniation.
Question 4 of 5
The nurse is preparing a client with Addison's disease for discharge. The nurse should tell the client to:
Correct Answer: A
Rationale: Reporting excessive weight gain signals fluid retention in Addison's disease, indicating adrenal insufficiency worsening fluid limits, symptom-only dosing, and temperature avoidance aren't key. Nurses teach this, ensuring medication adherence, critical for managing this endocrine condition.
Question 5 of 5
A 4-year-old with cerebral palsy is being prepared for rehabilitative services. Which nursing intervention will help ready the child?
Correct Answer: B
Rationale: Suckers and pinwheels strengthen tongue movement in cerebral palsy, aiding speech and swallowing for rehab patching, music, or games target different goals. Nurses use this, enhancing oral motor skills, preparing kids for therapy in this neurologic condition.