ATI LPN
LPN Fundamentals Practice Test Questions
Question 1 of 5
Which of the following clients is at highest risk of developing decubitus ulcers:
Correct Answer: A
Rationale: A 79-year-old malnourished client on bed rest faces the highest risk for decubitus ulcers (pressure injuries). Immobility from bed rest causes prolonged pressure on bony prominences (e.g., sacrum), while malnutrition impairs tissue repair (e.g., low protein), accelerating skin breakdown. Obesity with wheelchair use risks pressure, but mobility shifts weight, reducing duration. Incontinence with diarrhea irritates skin, but without immobility, pressure isn't constant. An ambulatory diabetic moves freely, minimizing pressure despite circulation risks. The bedridden, malnourished client combines immobility, poor nutrition, and age-related skin fragility, topping risk scales (e.g., Braden), making them the most vulnerable in nursing assessment.
Question 2 of 5
It refers to the manner of walking
Correct Answer: A
Rationale: Gait describes walking patterns.
Question 3 of 5
For a rectal examination, the patient can be directed to assume which of the following positions?
Correct Answer: D
Rationale: All positions (knee-chest, Sims, horizontal recumbent) are suitable for rectal exams.
Question 4 of 5
The most common injury among elderly persons is:
Correct Answer: D
Rationale: Hip fractures are frequent due to falls and osteoporosis in the elderly.
Question 5 of 5
When assessing a newborn whose mother consumed alcohol during the pregnancy, the nurse would assess for which of these clinical manifestations?
Correct Answer: A
Rationale: These features are characteristic of fetal alcohol syndrome.