ATI LPN
LPN Fundamentals Final Exam Questions
Question 1 of 5
Which nursing intervention is appropriate for preventing falls in a hospitalized patient with impaired mobility?
Correct Answer: A
Rationale: A clutter-free environment with clear pathways prevents falls in mobility-impaired patients by removing obstacles, ensuring safe movement. Bed rails risk entrapment, sedatives increase fall likelihood, and unattended ambulation is unsafe. Nurses create this setting to support navigation, reducing injury risk, a foundational approach to safety in hospital care for vulnerable patients.
Question 2 of 5
The nurse is teaching a group of parents about gross motor development of the toddler. Which behavior is an example of the normal gross motor skill of a toddler?
Correct Answer: A
Rationale: Toddlers (1-3 years) typically develop gross motor skills like pulling a toy behind them, reflecting coordination and strength in walking, a milestone by 18-24 months. Copying lines or building tall towers involves fine motor skills, while broad-jumping emerges later, around 3-4 years. Nurses educate parents on these norms to track development, reassuring them that pulling toys aligns with expected physical progress, distinguishing it from more advanced or precise tasks.
Question 3 of 5
The nurse should observe for side effects associated with the use of bronchodilators. A common side effect of bronchodilators is:
Correct Answer: B
Rationale: Nausea is a common side effect of bronchodilators like albuterol, stemming from systemic absorption stimulating the gastrointestinal tract or central nervous system, a frequent complaint in respiratory therapy. Tinnitus relates more to ototoxic drugs, ataxia to neurological issues, and hypotension isn't typical tachycardia is more likely. Nurses monitor for nausea to adjust administration (e.g., with food) or report persistent issues, ensuring client comfort while maintaining airway dilation. This vigilance balances therapeutic benefits against manageable side effects, critical for clients with chronic respiratory conditions.
Question 4 of 5
The physician has ordered antibiotic therapy for a client with a Gram-negative infection. The nurse can expect the physician to order:
Correct Answer: C
Rationale: Gentamicin, an aminoglycoside, targets Gram-negative infections (e.g., E. coli), effective against their cell walls penicillin and cefazolin favor Gram-positive, erythromycin less so. Nurses anticipate this, monitoring for nephrotoxicity or ototoxicity, ensuring proper dosing for bacterial clearance in this client.
Question 5 of 5
The nurse is caring for a client with AIDS who has a new order for captopril (Capoten). The nurse should monitor the client for:
Correct Answer: B
Rationale: Hypotension is a key side effect of captopril (ACE inhibitor) in AIDS clients, due to vasodilation hyperkalemia is possible but less immediate, hypoglycemia isn't linked, and urine output may not increase. Nurses check blood pressure frequently, ensuring safety, especially with AIDS-related comorbidities affecting fluid balance.