ATI LPN
LPN ATI Fundamental Exam Questions
Question 1 of 5
A nurse is reinforcing teaching with a client about smoking cessation. Which of the following should the nurse identify as the first stage of her behavior change?
Correct Answer: A
Rationale: Precontemplation: According to evidence-based practice, the nurse should identify that precontemplation is the first stage the client will experience when using the stages of health behavior change. In this stage, the client avoids discussing the behavior and does not intend to make a change in behavior. The stages of health behavior change are precontemplation, contemplation, preparation, action, and the maintenance stage. Preparation: INCORRECT. The nurse should identify that preparation is the third stage the client will experience when using the stages of health behavior change. In this stage, the client plans to make minor changes to behavior. However, according to evidence-based practice, another stage occurs prior to the preparation stage.
Question 2 of 5
A nurse is caring for a client who has just died and practiced the Islamic faith. Which of the following cultural practices should the nurse expect?
Correct Answer: C
Rationale: The client’s body should be placed on the floor: This is not a specific cultural practice in Islam. In Islamic tradition, the deceased person is usually placed on a raised surface, like a table or bed, to allow family and friends to gather around for prayers and final respects. The client’s oldest child will bathe the body: This is not a specific cultural practice in Islam. In Islamic tradition, the body is usually washed by individuals of the same gender who are experienced in the ritual washing of the deceased, known as 'Ghusl.' The client’s face should be turned toward Mecca: Correct. In Islamic tradition, when a person dies, it is customary to position the body with the head facing the Kaaba in Mecca, which is the holy city in Islam and the direction toward which Muslims pray. The client’s body will be adorned with amulets: This is not a specific cultural practice in Islam. While some individuals in various cultures may use amulets or charms for protection, it is not a universal Islamic practice for the deceased.
Question 3 of 5
A nurse is reinforcing teaching with a client about the prevention of stress injuries. Which of the following instructions should the nurse include?
Correct Answer: D
Rationale: Keep your knees in a locked position when standing for prolonged periods.' This instruction is incorrect. Keeping knees locked can lead to muscle fatigue and increased risk of injury during prolonged standing. 'Bend at the waist when lifting a heavy object.' This instruction is incorrect. Bending at the waist during lifting can strain the lower back and increase the risk of back injuries. 'Keep your feet close together when lifting a heavy object.' This instruction is incorrect. Keeping feet close together can make the base unstable and increase the risk of falling or losing balance during lifting. 'When lifting a heavy object, keep it close to your body.' Correct. Keeping the heavy object close to the body while lifting helps reduce strain on the back and minimizes the risk of injury. This technique allows the body’s core muscles to better support the weight.
Question 4 of 5
A nurse is caring for a client who is postoperative and is experiencing nausea and vomiting. The nurse should identify which of the following findings as indications that the client has fluid volume deficit. (Select all that apply.)
Correct Answer: B, D, E
Rationale: A: A full bounding pulse is a sign of increased fluid volume or fluid overload, not fluid volume deficit. B: Cool extremities can be an indication of decreased peripheral perfusion, which may occur in fluid volume deficit. C: Moist crackles in the lungs are an indication of fluid volume excess or pulmonary congestion, not fluid volume deficit. D: Orthostatic hypotension, which is a drop in blood pressure when changing from lying to standing, can be a sign of fluid volume deficit due to inadequate blood volume. E: Flat neck veins are an indication of decreased venous return and can occur in fluid volume deficit.
Question 5 of 5
A nurse is caring for a client who has metastatic cancer and practices Catholicism. The client asks the nurse to discuss the afterlife with them. Which of the following statements by the nurse assists in meeting the client’s spiritual needs?
Correct Answer: A
Rationale: Tell me what the afterlife means to you.' Correct. This response demonstrates active listening and encourages the client to share their beliefs and feelings about the afterlife, providing the client with an opportunity for spiritual expression and understanding. 'You should discuss the afterlife with your priest.' While discussing spiritual matters with a religious leader can be valuable, this response does not directly address the client’s request for the nurse to discuss the afterlife with them. 'Keep praying. A miracle could happen.' This response may not fully address the client’s need to discuss their beliefs about the afterlife. It focuses on hope but does not actively engage in the client’s spiritual conversation. 'Maybe your condition will lead you closer to God.' While offering comfort, this response may not meet the client’s request to discuss the afterlife directly.