LPN Capstone ATI Post Assessment

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Sample questions from LPN Capstone ATI Post Assessment

This material has 90 questions with answers and rationales. Here are the first 5.

1. 1.In the emergency department, a client with a suspected stroke has new difficulty swallowing. Which action should the practical nurse take?

   • A.Keep the client NPO and report the finding promptly to the RN
   • B.Give prescribed oral aspirin with applesauce
   • C.Offer small sips of water to assess swallowing
   • D.Place food on the unaffected side of the mouth

   Rationale: Keeping the client NPO helps prevent aspiration until swallowing safety is evaluated, and the new deficit requires prompt reporting. Testing swallowing with water or giving food or oral medication could cause aspiration. The practical nurse should report the change rather than independently determine that oral intake is safe.

2. 2.A client with heart failure is being discharged with a plan that the practical nurse will reinforce. Which instructions should the nurse reinforce? Select all that apply.

   • A.Stop the diuretic when ankle swelling improves
   • B.Use salt substitutes freely instead of table salt
   • C.Report a weight gain of 2 lb (0.9 kg) in 24 hr
   • D.Weigh yourself each morning after urinating
   • E.Take the prescribed diuretic at the same time each day

   Rationale: Daily weights under consistent conditions help detect fluid retention, and a rapid gain such as 2 lb in 24 hr should be reported. Taking the diuretic consistently as prescribed supports fluid control. Many salt substitutes contain potassium and should not be used freely, and prescribed diuretics should not be stopped without direction.

3. 3.A client states, "My chest feels tight, and I am more short of breath than usual." Which action is the practical nurse's priority?

   • A.Document the statement and reassess in 1 hr
   • B.Ask the client to describe usual activity tolerance
   • C.Obtain the client's vital signs and oxygen saturation
   • D.Review the client's dietary intake for the past day

   Rationale: Immediate collection of vital signs and oxygen saturation provides essential data about the client's current respiratory and cardiovascular status. Asking about usual tolerance or diet can wait until urgent status is known. Delaying reassessment for an hour is unsafe when the client reports worsening dyspnea and chest tightness.

4. 4.Which finding in a client with chronic kidney disease should the practical nurse report immediately?

   • A.Dry skin on both lower legs
   • B.Potassium 6.2 mEq/L
   • C.Mild fatigue after walking in the hall
   • D.Urine output of 450 mL over 8 hr

   Answer and rationale are in the full material.

5. 5.A client with diabetes is awake, diaphoretic, and shaky; the blood glucose is 58 mg/dL. The client can swallow safely. Which action should the practical nurse take?

   • A.Administer the scheduled rapid-acting insulin
   • B.Withhold all food until the provider evaluates the client
   • C.Give a high-protein meal and recheck in 2 hr
   • D.Give 15 g of a fast-acting carbohydrate

   Answer and rationale are in the full material.