ATI LPN
LPN Fundamentals of Nursing Test Questions
Question 1 of 5
Which of the following conditions is most likely related to the development of renal calculi?
Correct Answer: A
Rationale: Gout increases renal calculi risk due to elevated uric acid levels forming stones, a metabolic link well-documented in nephrology unlike pancreatitis (calcium stones rarely), fractures, or disc disease, which lack direct renal impact. Nurses connect this condition to stone formation for prevention teaching, like hydration and dietary purine reduction, addressing a client's predisposition to this painful urologic issue.
Question 2 of 5
The physician has ordered a 24-hour urine collection for a client. The nurse should:
Correct Answer: A
Rationale: Discarding the first voiding starts a 24-hour urine collection accurately, as it reflects prior kidney output subsequent urine measures the exact period. Saving all, catheterizing, or hourly voiding skews or complicates results. Nurses explain this, ensuring precise diagnostic data for renal or metabolic assessment.
Question 3 of 5
A client is being discharged home following a heart catheterization. Which instruction should be included in the discharge teaching?
Correct Answer: B
Rationale: Avoiding tub baths for 48 hours post-heart catheterization prevents site bleeding or infection activity resumes per physician, Coumadin isn't routine, and fever reporting is general advice. Nurses emphasize this, ensuring puncture site healing, critical for safe recovery.
Question 4 of 5
An 18-month-old is being discharged following hypospadias repair. Which instruction should be included in the nurse's discharge teaching?
Correct Answer: A
Rationale: Avoiding rocking horse play post-hypospadias repair prevents urethral trauma compresses don't target surgical pain, diapering continues, and diet isn't specific. Nurses teach activity limits, ensuring healing, critical for this urologic surgery.
Question 5 of 5
The nurse is preparing to administer an injection of Vitamin B12 to a client. Which statement indicates that the client needs additional teaching?
Correct Answer: A
Rationale: Saying monthly Vitamin B12 injections are needed for only 6 months shows misunderstanding pernicious anemia requires lifelong treatment, unlike temporary courses. Urine discoloration (from excretion), anemia improvement, and refrigeration are correct. Nurses clarify this, ensuring adherence, vital for managing B12 deficiency long-term.