ATI LPN
ATI Fundamentals Proctored Exam LPN Questions
Question 1 of 5
You highly suspect that your assigned client has abdominal distention. You most need to do and chart which of the following things?
Correct Answer: C
Rationale: Measuring girth at the most distended level and charting it confirms abdominal distention objectively, critical for tracking. Verification, umbilicus measurement, or client query are less precise. Nurses rely on this for accurate monitoring.
Question 2 of 5
Your assigned client seems to be getting a lot of attention from his mother when he complains of pain. The mother may be encouraging which of the following types of gains?
Correct Answer: B
Rationale: Maternal attention for pain suggests secondary gains external benefits beyond primary relief or other gains. Nurses address this in behavioral pain management.
Question 3 of 5
Which assessment finding indicates a potential complication of immobility related to the respiratory system?
Correct Answer: C
Rationale: Diminished breath sounds signal a respiratory complication from immobility, suggesting poor ventilation or issues like atelectasis or pneumonia due to shallow breathing. Stronger muscles or expanded lungs indicate healthy function, not problems, while a normal breathing rate doesn't reveal underlying lung issues. Nurses auscultate for this to detect early respiratory decline, prompting interventions like repositioning or breathing exercises, ensuring timely action to safeguard oxygenation in immobile patients.
Question 4 of 5
Which intervention is important in preventing pressure ulcers in immobilized patients?
Correct Answer: A
Rationale: Frequent repositioning prevents pressure ulcers in immobilized patients by relieving pressure on skin over bones, boosting circulation, and reducing tissue breakdown risk. Sustaining or promoting immobility heightens this risk, as does tight dressings that add pressure and impair blood flow. Nurses implement this intervention shifting positions every two hours, for instance to protect skin integrity, a fundamental strategy in caring for those unable to move independently, prioritizing prevention over reactive treatment.
Question 5 of 5
A client is receiving oxygen therapy via a nasal cannula. What is the appropriate flow rate for this client?
Correct Answer: B
Rationale: A flow rate of 4-6 liters per minute (B) is appropriate for nasal cannula oxygen therapy, delivering 36-44% oxygen, suitable for moderate hypoxemia. 1-2 L/min (A) (24-28%) suits mild cases or rest. 8-10 L/min (C) exceeds nasal cannula capacity, causing discomfort. 12-15 L/min (D) is for high-flow systems, not cannulas. This range balances efficacy and tolerance, per respiratory care standards, ensuring adequate oxygenation without nasal irritation.