ATI LPN
Fundamentals of Nursing LPN Questions
Question 1 of 9
A client is being discharged with a prescription for phenytoin (Dilantin). The nurse should instruct the client to:
Correct Answer: C
Rationale: Brushing and flossing after meals prevents gingival hyperplasia, a common phenytoin side effect meals don't buffer GI upset significantly, weekly blood draws aren't routine, and seizure-only dosing is incorrect. Nurses teach oral hygiene, ensuring adherence and minimizing complications in seizure management.
Question 2 of 9
The nurse in charge measures a patient's temperature at 101 degrees F. What is the equivalent centigrade temperature?
Correct Answer: B
Rationale: To convert Fahrenheit to Celsius, the formula is (°F - 32) / 1.8. For a temperature of 101°F: subtract 32 (101 - 32 = 69), then divide by 1.8 (69 / 1.8 ≈ 38.33). Rounding to one decimal place, this equals 38.3°C, matching the provided option. This conversion is vital in healthcare settings where Celsius is commonly used, ensuring accurate communication of a patient's condition. A temperature of 38.3°C indicates a fever, which could signal infection or inflammation, guiding the nurse's next steps in care. The other choices are incorrect: 36.3°C is too low (equivalent to about 97.3°F, below normal); 40.03°C is too high (about 104°F); and 38.01°C is slightly off due to rounding errors. Precision in temperature conversion enhances patient monitoring and treatment decisions, making 38.3°C the correct equivalent for 101°F in this clinical context.
Question 3 of 9
Which of the following principle guides nurses' priorities at a disaster caused by a collapsed building in an earthquake?
Correct Answer: A
Rationale: In disaster triage, controlling hemorrhage is prioritized as it's a leading preventable death cause, saving the most lives quickly (e.g., applying tourniquets). Minimal care patients are delayed per reverse triage, head injuries vary in urgency, and age-based priority (children) isn't standard. Nurses focus on rapid, life-saving interventions, maximizing survival rates in chaotic settings with limited resources.
Question 4 of 9
In the nursing process, the purpose of assessment is to:
Correct Answer: C
Rationale: The assessment phase of the nursing process is designed to establish a comprehensive database about the patient, gathering subjective and objective data like symptoms, vital signs, and health history to inform subsequent steps. This foundational role ensures nurses understand the patient's condition fully before diagnosing or planning care. Implementing doctors' orders occurs in the implementation phase, not assessment, which precedes action. Complying with nursing requirements is a procedural concern, not the purpose of assessment, which focuses on patient needs, not regulatory checklists. Ensuring nursing instructions are followed relates to evaluation or implementation, not data collection. By creating a detailed patient profile, assessment enables nurses to identify problems, set goals, and tailor interventions, making it the critical starting point for effective, individualized care in the nursing process.
Question 5 of 9
Which of the following is the BEST goal for crisis intervention?
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 6 of 9
The nurse passed a board exam to work legally. This is an example of?
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 7 of 9
Collaborative interventions are therapies that require:
Correct Answer: A
Rationale: Collaborative interventions involve multiple healthcare professionals like nurses, physicians, therapists working together, leveraging diverse expertise for complex care (e.g., post-surgical rehab with PT, RN, and MD input). Client and doctor interventions exclude nurses, ignoring their role in teamwork. Physician and nurse interventions limit scope to two roles, missing broader collaboration (e.g., dietitians). Nurse, client, and administrators blend care with management, but administrators don't deliver therapy. Multiple professionals reflect real-world practice e.g., managing diabetes with endocrinologists, nurses, and educators ensuring holistic, coordinated care, making this the most accurate depiction of collaborative efforts in nursing.
Question 8 of 9
A community health nurse wants to decrease the incidence of sexually transmitted infections (STIs) in a group of adolescents. Which action reflects primary prevention?
Correct Answer: B
Rationale: Primary prevention stops STIs before they occur, key for adolescents at risk from sexual activity. Educating about condom use reducing infection odds by 80% per studies teaches safe practices, a nursing-led action targeting behavior before exposure. Screening is secondary, catching STIs early. Referring or teaching meds is tertiary, managing existing cases. Condom education fits primary's proactive core, empowering teens with knowledge correct use slashes chlamydia or HIV rates in a community setting where peer influence peaks. Nursing's role here prevents incidence spikes, aligning with public health goals to curb STIs through accessible, age-appropriate education, not reaction, ensuring lasting behavioral impact.
Question 9 of 9
A true pathogen will cause disease or infection:
Correct Answer: A
Rationale: A true pathogen causes disease in a healthy person, distinguishing it from opportunistic pathogens that target the immunocompromised. These organisms, like Salmonella, have virulence factors enabling infection regardless of immune status, unlike allergens or rare cases. This understanding guides nursing infection control, emphasizing universal precautions for such pathogens to protect all clients, not just vulnerable ones, in healthcare settings.