ATI LPN
LPN Nursing 1 Fundamental Exam Questions
Extract:
A 67-year old client on bedrest
Question 1 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 with a wound infection identified as vancomycin-resistant enterococci (VRE)
Question 2 of 5
Which type of precautions should the health care team initiate for a client with a VRE wound infection?
Correct Answer: D
Rationale: Contact precautions are appropriate for multidrug-resistant organisms like VRE to prevent transmission via gloves and gowns.
Extract:
Question 3 of 5
The nurse is preparing to administer dexamethasone 3 mg PO. Available is dexamethasone 1.5 mg tablets. How many tablets should the nurse administer? (Round to the nearest whole number and label your answer.)
Correct Answer: B
Rationale: Using the formula: dose ordered / dose available = 3 mg / 1.5 mg = 2 tablets.
Extract:
A client diagnosed with gouty arthritis
Question 4 of 5
Which laboratory test is most important to perform to confirm a diagnosis of gouty arthritis?
Correct Answer: B
Rationale: Gouty arthritis is characterized by elevated uric acid levels, leading to urate crystal deposition in joints.
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 5 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.