ATI LPN
LPN Fundamentals of Nursing Course Questions
Question 1 of 5
Which nursing action promotes safe mobilization and transfers for a patient with a lower extremity injury?
Correct Answer: B
Rationale: Providing a firm, stable surface for transfers ensures safety for a patient with a lower extremity injury, minimizing fall risk and supporting controlled movement. Avoiding weight-bearing might apply early but not universally, rapid moves are dangerous, and skipping devices can compromise safety. Nurses prioritize this to stabilize transfers, accommodating the injury while fostering secure mobility, critical for recovery and protection.
Question 2 of 5
A client hospitalized with severe depression and suicidal ideation refuses to talk with the nurse. The nurse recognizes that the suicidal client has difficulty:
Correct Answer: D
Rationale: Clients with severe depression and suicidal ideation often struggle to express anger outwardly due to internalized emotions, a common psychological barrier in this condition. Depression can suppress verbal communication, particularly about intense feelings like anger, which may be directed inward, heightening suicidal risk. Low self-worth is a symptom they might feel but not the primary difficulty in expression. Remorse or guilt may be present, yet these are less tied to communication challenges than suppressed anger. Dependence on others might occur but isn't the core issue here. Nurses must recognize this pattern to address underlying emotions safely, using therapeutic techniques to encourage expression, reducing isolation and risk.
Question 3 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 4 of 5
When assessing the urinary output of a client who has had extracorporeal lithotripsy, the nurse can expect to find:
Correct Answer: A
Rationale: Cherry-red urine clearing over time is expected post-extracorporeal lithotripsy, reflecting initial hematuria from stone fragmentation, then resolution as bleeding subsides a normal progression. Orange tinge, persistent dark red, or smoky urine suggest other issues. Nurses monitor this to confirm procedure success, reassuring clients while watching for prolonged bleeding or infection.
Question 5 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.