ATI LPN
Fundamentals of Nursing LPN Questions
Question 1 of 5
Which patient is at the greatest risk for developing deep vein thrombosis (DVT) due to immobility?
Correct Answer: B
Rationale: A patient post-surgery faces the greatest deep vein thrombosis risk due to immobility during recovery, slowing circulation and promoting clotting. Hypertension or diabetes contributes less directly, and regular exercise reduces risk. Nurses focus on this group with prophylaxis like anticoagulants or leg exercises, recognizing surgery's unique immobility burden as a critical factor in thrombus formation.
Question 2 of 5
The licensed vocational nurse may not assume the primary care for a client:
Correct Answer: C
Rationale: Licensed vocational nurses (LVNs) have a scope of practice excluding primary care for clients with complex needs like venous access devices, which require advanced monitoring and intervention skills reserved for RNs. The fourth stage of labor, post-appendectomy recovery, and bipolar disorder management typically involve stable or predictable care LVNs can handle under supervision. Venous devices, however, pose risks like infection or occlusion, demanding higher-level assessment. Nurses respect these boundaries to ensure safe, competent care delivery aligned with licensure limits.
Question 3 of 5
A 5-year-old is admitted to the unit following a tonsillectomy. Which of the following would indicate a complication of the surgery?
Correct Answer: D
Rationale: Bright red bleeding post-tonsillectomy signals a complication hemorrhage requiring urgent attention, as it indicates active vessel rupture beyond normal oozing. Decreased intake or sore throat are expected, while restlessness might suggest pain, not bleeding. Nurses monitor for this to intervene promptly, preventing shock or airway compromise in a 5-year-old.
Question 4 of 5
A client with bipolar disorder is admitted to the unit in a manic state. Which of the following activities is most appropriate for the client?
Correct Answer: C
Rationale: Reading a book in his room suits a manic client with bipolar disorder, providing a calm, low-stimulation activity to reduce agitation chess, singing, or TV may overstimulate or frustrate. Nurses select this to stabilize mood, offering solitude and focus, aiding de-escalation in a controlled setting.
Question 5 of 5
A client is being discharged with a prescription for phenytoin (Dilantin). The nurse should instruct the client to:
Correct Answer: C
Rationale: Brushing and flossing after meals prevents gingival hyperplasia, a common phenytoin side effect meals don't buffer GI upset significantly, weekly blood draws aren't routine, and seizure-only dosing is incorrect. Nurses teach oral hygiene, ensuring adherence and minimizing complications in seizure management.