ATI LPN
Quizlet LPN Fundamentals Questions
Question 1 of 5
Which vaccine is contraindicated in pregnancy :
Correct Answer: A
Rationale: Vaccines in pregnancy balance maternal-fetal safety. Rubella vaccine (choice
A), a live attenuated virus, is contraindicated due to theoretical risks of congenital rubella syndrome if the virus crosses the placenta, though no cases are definitively linked. Diphtheria (choice
B) and tetanus (choice
C) vaccines, as inactivated toxoids (e.g., Td), are safe and recommended to protect mother and newborn. Hepatitis B vaccine (choice
D), an inactivated subunit vaccine, poses no fetal risk and is given if the mother is at risk. A is correct because rubella's live nature excludes it from routine prenatal use. Nurses must counsel pregnant women on vaccine safety, ensuring tetanus protection while avoiding live vaccines like rubella to safeguard fetal development.
Question 2 of 5
Which of the following milestone is a red flag sign in child development if not attained?
Correct Answer: C
Rationale: Developmental milestones flag delays if unmet. Walking at 12 months (choice
A) is average; delay to 18 months is still normal. Single words at 12 months (choice
B) vary (9-18 months), not an immediate red flag. Social smile by 3 months (choice C, typically 6-8 weeks) is critical; absence by 3 months suggests autism or neurological issues, a major concern. Vocalization at 2 months (choice D, cooing) is expected, but delay isn't as alarming as smile absence. C is correct, as it's a key early red flag. Nurses refer for evaluation, ensuring timely intervention.
Question 3 of 5
Which nerve injury leads to wrist drop:
Correct Answer: D
Rationale: Wrist drop is inability to extend the wrist. Axillary nerve (choice
A) affects shoulder, not wrist. Ulnar nerve (choice
B) impacts hand sensation/movement, not extension. Median nerve (choice
C) controls forearm flexors. Radial nerve (choice
D) innervates wrist extensors; injury (e.g., humeral fracture) causes wrist drop. D is correct, per anatomy. Nurses assess grip, apply splints, and support rehab, aiding recovery.
Question 4 of 5
According to her, A nurse patient relationship is composed of 4 stages : Orientation, Identification, Exploitation and Resolution
Correct Answer: B
Rationale: Hildegard Peplau (
B) defined the nurse-patient relationship in four stages: Orientation (meeting and trust-building), Identification (role clarity), Exploitation (using resources for goals), and Resolution (termination). Roy (
A) focuses on adaptation, Rogers (
C) on unitary humans, and Travelbee (
D) on human-to-human connection, none using these exact stages. Peplau's interpersonal theory is foundational in nursing, aligning with the described phases, making B correct.
Question 5 of 5
Rommel told Budek 'I SEE DEAD PEOPLE ' Budek responded 'You see dead people?' This Is an example of therapeutic communication technique?
Correct Answer: B
Rationale: Budek's 'You see dead people?' is restating (
B), repeating Rommel's words to show listening and encourage elaboration. Reflecting (
A) mirrors feelings (e.g., 'You're scared?'). Exploring (
C) probes deeper (e.g., 'Tell me more'). Clarification (
D) seeks meaning (e.g., 'What do you mean?'). Restating, common in schizophrenia care, validates without judgment, making B correct.