ATI LPN
LPN Nursing Fundamentals Questions
Question 1 of 5
Which intervention should the nurse implement to maintain adequate hydration in an immobile patient?
Correct Answer: A
Rationale: Offering room-temperature fluids maintains hydration in immobile patients by encouraging intake comfortably, supporting circulation and organ function. Limiting fluids risks dehydration, straws help but aren't universal, and IV fluids aren't routine. Nurses promote this to ensure fluid balance, adapting to patient preferences, a simple yet effective hydration strategy in restricted mobility cases.
Question 2 of 5
An 18-month-old is scheduled for a cleft palate repair. The usual type of restraints for the child with a cleft palate repair are:
Correct Answer: A
Rationale: Elbow restraints are used post-cleft palate repair to prevent an 18-month-old from touching the surgical site, protecting sutures without overly restricting movement. Full arm or wrist restraints are excessive, while mummy restraints are impractical and unnecessary. Nurses apply these to balance safety and comfort, educating parents on their temporary use to ensure healing, critical for speech and feeding outcomes.
Question 3 of 5
The nurse is teaching the client with insulin-dependent diabetes the signs of hypoglycemia. Which of the following signs is associated with hypoglycemia?
Correct Answer: A
Rationale: Tremulousness is a classic sign of hypoglycemia in insulin-dependent diabetes, resulting from the autonomic nervous system's response to low glucose, triggering adrenaline release shakiness signals urgent need for sugar. Slow pulse, nausea, or flushed skin align more with other conditions or hyperglycemia. Nurses teach this symptom for self-recognition, enabling rapid intervention with glucose sources, preventing severe outcomes like seizures, critical for diabetes management.
Question 4 of 5
A pediatric client with burns to the hands and arms has dressing changes with Sulfamylon (mafenide acetate) cream. The nurse is aware that the medication:
Correct Answer: D
Rationale: Sulfamylon cream causes a burning sensation on application to burns, a known effect due to its penetration into damaged tissue, requiring pain management a pediatric care priority. Staining, cooling, or thyroid impact aren't typical. Nurses prepare for this, using analgesics to ease discomfort, supporting healing in young clients.
Question 5 of 5
The nurse is caring for a client with a closed head injury. Which finding suggests increasing intracranial pressure?
Correct Answer: B
Rationale: Widening pulse pressure (e.g., 140/60) indicates rising intracranial pressure post-head injury, reflecting Cushing's triad with bradycardia and respiratory changes pulse, respiration, or mild fever alone don't confirm this. Nurses report this, signaling brain herniation risk, necessitating urgent intervention like mannitol or surgery.