ATI LPN
LPN Nursing Fundamentals Questions
Question 1 of 5
You partially darken a room and ask the client to look straight ahead. You use a penlight and, approaching from the side you shine the light, it constricts. You remove the light and then shine it on the same pupil again. You also observe the response of the other pupil. You would normally find the other pupil doing which of the following things?
Correct Answer: D
Rationale: The other pupil constricts consensually when light hits one, a normal reflex. No change, dilation, or mixed response indicates abnormality. Nurses test this for brain function.
Question 2 of 5
What is the purpose of utilizing proper positioning techniques for patients?
Correct Answer: A
Rationale: Proper positioning techniques aim to maintain patient comfort by reducing pressure points, aligning the body, and preventing pain or discomfort during rest or treatment. This focus enhances patient well-being, crucial for recovery and satisfaction in care settings. Encouraging social engagement, aiding walking, or enhancing coordination, while valuable, aren't the core objectives of positioning those require distinct interventions like group activities or physical therapy. Comfort underpins healing, as unrelieved pressure or misalignment can lead to complications like ulcers or muscle strain. Nurses prioritize this to support physiological stability, ensuring patients feel at ease, which indirectly supports broader therapeutic goals without being the primary intent.
Question 3 of 5
Which intervention should the nurse implement to maintain adequate hydration in an immobile patient?
Correct Answer: A
Rationale: Offering room-temperature fluids maintains hydration in immobile patients by encouraging intake comfortably, supporting circulation and organ function. Limiting fluids risks dehydration, straws help but aren't universal, and IV fluids aren't routine. Nurses promote this to ensure fluid balance, adapting to patient preferences, a simple yet effective hydration strategy in restricted mobility cases.
Question 4 of 5
A nurse is caring for a client receiving oxygen therapy via a mask. What is an important nursing intervention to prevent pressure ulcers on the client's face?
Correct Answer: C
Rationale: Placing padding between the mask and skin (C) prevents pressure ulcers by cushioning contact points, reducing friction and pressure. Frequent adjustments (A) disrupt fit. Petroleum jelly (B) compromises seal. Regular assessment (D) detects, not prevents. Padding is proactive, per skin care standards, ensuring mask safety.
Question 5 of 5
An 18-month-old is scheduled for a cleft palate repair. The usual type of restraints for the child with a cleft palate repair are:
Correct Answer: A
Rationale: Elbow restraints are used post-cleft palate repair to prevent an 18-month-old from touching the surgical site, protecting sutures without overly restricting movement. Full arm or wrist restraints are excessive, while mummy restraints are impractical and unnecessary. Nurses apply these to balance safety and comfort, educating parents on their temporary use to ensure healing, critical for speech and feeding outcomes.