ATI LPN
LPN Fundamentals Exam Evolve Questions
Extract:
For the past 3 weeks, the nurse has observed a patient interacting with staff and other patients, helping decorate the dining room for a party, and leading the singing in the activity room. Today, the patient tearfully refuses to dress or get out of bed
Question 1 of 5
For the past 3 weeks, the nurse has observed a patient interacting with staff and other patients, helping decorate the dining room for a party, and leading the singing in the activity room. Today, the patient tearfully refuses to dress or get out of bed. The nurse recognizes these behaviors as evidence of which psychiatric disorder?
Correct Answer: A
Rationale: The described behavior of extreme mood swings (elevated mood followed by significant depression) is characteristic of bipolar disorder.
Extract:
A resident of an assisted living center reports having sharp pain on one side of the body, with patches of 'blisters'. The nurse notices vesicles on one side of the thorax, which follow a peripheral nerve pathway
Question 2 of 5
A resident of an assisted living center reports having sharp pain on one side of the body, with patches of 'blisters'. The nurse notices vesicles on one side of the thorax, which follow a peripheral nerve pathway. Suspecting herpes zoster, the nurse immediately contacts the health care provider. Which is the reason for the prompt notification?
Correct Answer: A
Rationale: Early recognition of herpes zoster is crucial to start antiviral therapy and reduce the risk of complications such as postherpetic neuralgia.
Extract:
An older adult patient who has difficulty hearing
Question 3 of 5
When communicating with an older adult patient who has difficulty hearing, how should the nurse change her speech?
Correct Answer: D
Rationale: Lowering the tone of the voice makes it easier for older adults to hear, as they often have difficulty hearing higher frequencies.
Extract:
A nervous 18-year-old patient who has vital signs of P 120, R 30, and BP 160/90. The patient states that he feels something bad is about to happen
Question 4 of 5
The nurse is assessing a nervous 18-year-old patient who has vital signs of P 120, R 30, and BP 160/90. The patient states that he feels something bad is about to happen. Based on this data alone, how should the nurse identify the patient's level of anxiety?
Correct Answer: D
Rationale: Severe anxiety includes significant physiological responses (elevated vital signs) and a sense of impending doom.
Extract:
The home health nurse assessing skin lesions
Question 5 of 5
The home health nurse assessing skin lesions uses the PQRST mnemonic as a guide. What does the S in this guide indicate?
Correct Answer: B
Rationale: In the PQRST mnemonic for pain assessment, 'S' stands for severity, referring to how intense or bothersome the symptoms are.