ATI LPN
Nursing Fundamental Physical Assessment LPN Questions
Question 1 of 5
A client has expressed an openness to practicing meditation in an effort to relieve anxiety and promote wellness. When providing education about meditation, the nurse will make which statement(s) to the client?
Correct Answer: A
Rationale: Educating a client on meditation for anxiety relief involves practical, evidence-supported advice to ensure success and wellness. Suggesting a consistent place creates a calm, familiar setting, enhancing focus and relaxation, key to reducing stress. Silencing devices eliminates distractions, fostering mindfulness, a core meditation benefit shown to lower cortisol levels. Scheduling intentionally builds a routine, reinforcing habit formation studies link regularity to sustained anxiety reduction. Advising intentional breathing quiets the mind, amplifying calm, unlike lying down, which risks sleep over meditation's goal of alert relaxation. These tips align with nursing's wellness promotion, empowering the client with actionable steps to manage anxiety effectively, integrating mind-body balance into daily life for lasting health benefits.
Question 2 of 5
The nurse is caring for a client who has a strong family history of colon cancer. Which nursing intervention reflects secondary prevention?
Correct Answer: B
Rationale: Secondary prevention detects disease early, crucial for a client with a colon cancer family history. Screening via colonoscopy recommended from age 45 or earlier with risk spots polyps or cancer before symptoms, enabling removal or treatment, a nursing-coordinated action. High-fiber diet and smoking cessation are primary, preventing onset, not detecting. Genetic counseling assesses risk but isn't screening. Colonoscopy's precision cutting mortality by catching 60-70% of cancers early, per research makes it secondary prevention's gold standard here. Nursing ensures this high-risk client gets timely testing, aligning with prevention's focus on preemptive action, leveraging family history to avert late-stage diagnosis in a community or clinic setting.
Question 3 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 4 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 5 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.