ATI LPN
Nursing Fundamental Physical Assessment LPN Questions
Question 1 of 5
A client is hospitalized for the first time, which of the following actions ensure the safety of the client?
Correct Answer: C
Rationale: Hospital safety for a newly admitted client focuses on preventing falls, injuries, and disorientation, especially in an unfamiliar environment. Keeping side rails up at all times (
C) is a key measure to prevent falls, particularly during sleep or if the client attempts to get out of bed unassisted, which is a common risk during initial hospitalization. Option A (removing unnecessary furniture) reduces clutter and tripping hazards but is less directly tied to immediate bedside safety. Option B (lights on at all times) may disrupt sleep and is impractical unless needed for observation, not universally ensuring safety. Option D (hiding equipment) may reduce anxiety but does not directly enhance physical safety and could hinder access to necessary tools. Side rails provide a physical barrier, aligning with evidence-based fall prevention protocols in hospitals, making C the most effective safety action for a first-time hospitalized client.
Question 2 of 5
A client with an oral endotracheal tube attached to a mechanical ventilator is about to begin the weaning process. The nurse asks the health care provider whether this process should be delayed temporarily, based on administration of which medication to the client in the last hour?
Correct Answer: A
Rationale: Lorazepam (
A), a sedative, may delay weaning by depressing respiratory drive. Furosemide (
B), digoxin (
C), and metoclopramide (
D) don't directly affect this. A is correct.
Rationale: Sedation impairs spontaneous breathing, critical for weaning, per ventilator management protocols.
Question 3 of 5
Which positioning technique should the nurse use to prevent pressure ulcers in a patient with limited mobility?
Correct Answer: C
Rationale: Supporting bony prominences with pillows or foam pads prevents pressure ulcers by distributing weight and reducing pressure on vulnerable spots in limited-mobility patients. Prone positioning or prolonged sitting increases risk, and a 90-degree head elevation causes shear. Nurses use this technique to protect skin, ensuring comfort and circulation, a primary defense against tissue breakdown in restricted movement cases.
Question 4 of 5
Icheanne asked you again, What is that term that describes the magnetic attraction of injured tissue to bring phagocytes to the site of injury?
Correct Answer: D
Rationale: The term for the 'magnetic attraction' of injured tissue drawing phagocytes is chemotaxis, but it's not listed. Among the options, D ('I don't know ) is correct as it acknowledges the absence of the precise term. Diapedesis (
B) is the process of phagocytes squeezing through vessel walls, not attraction. Emigration (
C) is their movement out of vessels, not the pull. Option A dismisses the question. Chemotaxis involves chemical signals (e.g., cytokines) luring phagocytes, but since it's missing, D reflects the nurse's honest uncertainty, aligning with the need for accuracy in medical terminology.
Question 5 of 5
Who postulated the WHOLISTIC concept that the totality is greater than sum of its parts?
Correct Answer: B
Rationale: Martha Rogers' Science of Unitary Human Beings (1970s) posits humans as wholes beyond parts e.g., dignity persists post-trauma. Unlike Roy's adaptation, Henderson's needs, or Johnson's behavior, Rogers' wholistic view shapes nursing's focus on indivisible patient worth, influencing holistic care philosophies.