ATI LPN
Nursing Fundamental Physical Assessment LPN Questions
Question 1 of 5
You are working with a client who is on a full liquid diet. The client is demanding some ice cream. Which of the following responses on your part would be best?
Correct Answer: C
Rationale: Plain vanilla ice cream fits a full liquid diet, melting to liquid, meeting the client's request safely. Denying, calling, or deferring misses this. Nurses accommodate within guidelines.
Question 2 of 5
A nurse is providing oxygen therapy to a client. What is an important nursing consideration when applying a nasal cannula for oxygen delivery?
Correct Answer: D
Rationale: Administering humidified oxygen (D) is key with nasal cannulas, preventing nasal dryness and enhancing comfort at flows up to 6 L/min. Tight securing (A) causes discomfort. Mouth placement (B) is incorrect. Ear skin checks (C) apply to masks, not cannulas. Humidification aligns with nursing care standards, reducing irritation.
Question 3 of 5
A client is sent to the psychiatric unit for forensic evaluation after he is accused of arson. His tentative diagnosis is antisocial personality disorder. In reviewing the client's record, the nurse could expect to find:
Correct Answer: C
Rationale: Antisocial personality disorder often manifests with a history of cruelty to animals, a behavioral marker reflecting disregard for others' rights, common in childhood conduct issues progressing to this diagnosis. Consistent employment contradicts the impulsivity and irresponsibility typical of the disorder, while intelligence varies and isn't characteristically low. Remorse is rare due to limited empathy. Nurses reviewing such records anticipate these patterns to inform care, focusing on safety and behavioral management rather than expecting regret or stability.
Question 4 of 5
Phototherapy is ordered for a newborn with physiologic jaundice. The nurse caring for the infant should:
Correct Answer: C
Rationale: Covering the newborn's eyes with shields during phototherapy prevents retinal damage from bilirubin-breaking light, a critical safety measure in treating physiologic jaundice. Oil-based lotions interfere with light penetration, turning is helpful but secondary, and removal during feedings isn't standard. Nurses prioritize eye protection, ensuring effective therapy while safeguarding vision.
Question 5 of 5
The nurse is preparing to give an oral potassium supplement. The nurse should:
Correct Answer: B
Rationale: Giving an oral potassium supplement with 4oz. of juice dilutes its irritating effects on the stomach, reducing nausea or ulcers a standard administration practice. Undiluted doses, water-only, or empty stomach increase GI distress. Nurses use this method, enhancing tolerability, ensuring electrolyte correction without discomfort.