ATI LPN
Quizlet LPN Fundamentals Questions
Question 1 of 9
A 38-year old patient's vital signs at 8 a.m. are axillary temperature 99.6 F (37.6 C); pulse rate, 88; respiratory rate, 30. Which findings should be reported?
Correct Answer: D
Rationale: A respiratory rate of 30 (normal 12-20) and axillary temp of 99.6 F (slightly high) warrant reporting.
Question 2 of 9
A client is admitted to the hospital with a history of confusion. The client has difficulty remembering recent events and becomes disoriented when away from home. Which statement would provide the best reality orientation for this client?
Correct Answer: D
Rationale: This statement clearly provides time, place, and person for orientation.
Question 3 of 9
One of the expectations is for nurses to join professional association primarily because of
Correct Answer: A
Rationale: Professional associations like the PNA promote growth e.g., training, certifications enhancing skills and standards. Fundraising, networking, or job aid are secondary. This focus, rooted in nursing's professionalization, ensures competence and leadership, vital for career and patient care quality.
Question 4 of 9
The nurse is auscultating the client's bowel sounds, which of the following technique is correct?
Correct Answer: C
Rationale: Auscultating bowel sounds uses the diaphragm lightly e.g., hears gurgles unlike firm (blocks), 5 minutes (standard), warming (optional). Nurses listen e.g., quadrants for accuracy, per technique.
Question 5 of 9
The nurse cares for an older adult client with congestive heart failure following a myocardial infarction. The client reports having difficulty breathing and states, 'I feel as if I am drowning when I lie down.' Which complication does the nurse recognize as contributing to this assessment finding?
Correct Answer: C
Rationale: The client's symptoms difficulty breathing and a drowning sensation when lying down (orthopnea) point to pulmonary edema (C), a complication of congestive heart failure (CHF) post-myocardial infarction (MI). In CHF, the heart's pumping fails, causing fluid to back up into the lungs, worsening when supine due to increased venous return. Myocardial infarction (A) is the cause, not the complication. Panic attack (B) may mimic dyspnea but lacks the positional clue. Left ventricular hypertrophy (D) contributes to CHF but isn't the direct issue. C is correct. Rationale: Pulmonary edema's hallmark is fluid in alveoli, causing respiratory distress and orthopnea, a classic CHF progression post-MI, requiring urgent intervention like diuretics, unlike anxiety or structural changes.
Question 6 of 9
Refers to the moral values and beliefs that are used as guides to personal behavior and actions
Correct Answer: D
Rationale: Character refers to moral values and beliefs like honesty or compassion that steer actions, distinct from philosophy (life's purpose), personality (traits), or charm (attractiveness). In nursing, character drives ethical decisions e.g., reporting a medication error despite pressure. It's the moral backbone, shaped by upbringing and culture, ensuring integrity in patient care, a critical attribute in professional conduct.
Question 7 of 9
The nurse gave Mr. Gary pain relief to improve his comfort. This is an example of?
Correct Answer: A
Rationale: Giving pain relief for comfort is beneficence (A) doing good, per ethics. Nonmaleficence (B) avoids harm, autonomy (C) respects choice, justice (D) ensures fairness not comfort-specific. A reflects the nurse's action to enhance Mr. Gary's well-being, a core aspect of beneficence in nursing practice, making it the correct example.
Question 8 of 9
The nurse is preparing to administer eye drops to a 4-year-old client. The nurse should:
Correct Answer: B
Rationale: Pulling the lower lid down and instilling drops in the conjunctival sac ensures accurate delivery to a 4-year-old's eye, minimizing trauma prone positioning, high dropper, or dry wiping risks injury or inefficacy. Nurses use this, calming the child, ensuring medication (e.g., antibiotic) reaches the target safely.
Question 9 of 9
She was the daughter of Hungarian kings, who feed 300-900 people everyday in their gate, builds hospitals, and care of the poor and sick herself.
Correct Answer: A
Rationale: Saint Elizabeth of Hungary (13th century), a princess, fed hundreds daily and built hospitals e.g., using wealth for charity. Unlike Catherine (lamp lady), Nightingale (modern nurse), or Gamp (fictional), she's nursing's patron saint, her altruism inspiring early caregiving traditions in Christian nursing history.