ATI LPN
Nursing Fundamental Physical Assessment LPN Questions
Question 1 of 5
A client asks a nurse to explain the focus of Healthy People 2030. Which information should the nurse include in the response?
Correct Answer: A
Rationale: Healthy People 2030 aims to improve health across the U.S. by setting clear, actionable goals. The nurse should explain that a key focus is to eliminate health disparities, ensuring equitable care for all groups regardless of race, income, or location addressing gaps like higher diabetes rates in underserved communities. Increasing access to preventive services, such as vaccinations or screenings, supports early intervention, reducing disease burden. Promoting healthy behaviors, like exercise or quitting smoking, empowers individuals to take charge of their wellness, preventing chronic conditions. While more providers could help, it's not a core goal focus is on system-wide equity and prevention. This initiative guides nursing to advocate for fairness, educate on lifestyle, and link clients to services, tackling root causes of poor health outcomes. For example, reducing disparities might mean better prenatal care access for rural women, aligning with nursing's mission to uplift vulnerable populations through targeted, evidence-based strategies.
Question 2 of 5
The low-pressure alarm sounds on the ventilator. The nurse checks the client and then attempts to determine the cause of the alarm but is unsuccessful. Which initial action should the nurse take?
Correct Answer: B
Rationale: A low-pressure ventilator alarm suggests disconnection or leak; manual ventilation (B) ensures oxygenation. Rationale: Manual bagging maintains airway support while troubleshooting, per respiratory care standards.
Question 3 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 4 of 5
A client sustains a crushing injury of the spinal cord above the level of origin of the phrenic nerve. As a result of this injury, the nurse expects what client response?
Correct Answer: D
Rationale: Injury above the phrenic nerve (C3-C5) causes respiratory paralysis (D) by disrupting diaphragm innervation. Fibrillation (A) or vagus issues (B) aren't direct. Sensation/paralysis (C) is incomplete. D is correct. Rationale: Phrenic nerve loss halts breathing, a primary concern in high spinal injuries, per trauma care.
Question 5 of 5
A client arrives in the emergency department with multiple crushing wounds of the chest, abdomen, and legs. Which are the priority nursing assessments?
Correct Answer: C
Rationale: In multiple trauma, quality of respirations and pulses (C) assess airway and circulation, per ABCs. LOC/pupils (A), pain/BP (B), and wounds (D) follow. C is correct. Rationale: Breathing and perfusion are immediate life threats in crush injuries, guiding resuscitation, per trauma triage standards.