ATI LPN
LPN Nursing 1 Fundamental Exam Questions
Extract:
A client had a bowel resection 5 days ago with a temperature of 103 degrees F, pulse 88, respirations 20, blood pressure 146/72, urine output 160cc for the last 4 hours, and an erythemic, warm incision
Question 1 of 5
The nurse determines that the client's fever is most likely due to what condition?
Correct Answer: A
Rationale: Fever, decreased urine output, and erythema and warmth at the incision site suggest a wound infection.
Extract:
A client who reports they are an avid outdoorsman and enjoys hiking, camping, and backpacking, has been admitted for Lyme's Disease
Question 2 of 5
Lyme's Disease is spread by a tick. What is the mode of transmission?
Correct Answer: B
Rationale: Lyme disease is transmitted to humans through the bite of infected ticks, making it a vectorborne disease.
Extract:
A 67-year old client on bedrest
Question 3 of 5
Which of the following nursing actions should the nurse include in the plan of care to help maintain the body's first line of defense? Select all that apply.
Correct Answer: A, B, C, D, E
Rationale: Coughing and deep breathing (
A), turning every 2 hours (
B), keeping skin clean and dry (
C), applying lotion (
D), and helping void (E) maintain respiratory, skin, and urinary defenses.
Extract:
A client who is being admitted to the facility with a suspected diagnosis of pertussis
Question 4 of 5
Which of the following interventions should the nurse include in the plan of care for a client with a suspected diagnosis of pertussis?
Correct Answer: D
Rationale: Wearing a mask when providing care within 10 feet of the client helps reduce the risk of droplet transmission of pertussis.
Extract:
A client who requires droplet precautions due to influenza
Question 5 of 5
Which nursing action should be completed for a client on droplet precautions due to influenza?
Correct Answer: B
Rationale: Wearing a mask when providing care prevents transmission of influenza via respiratory droplets.