ATI LPN
Nursing Fundamental Physical Assessment LPN Questions
Question 1 of 5
A client is hospitalized for the first time, which of the following actions ensure the safety of the client?
Correct Answer: C
Rationale: Hospital safety for a newly admitted client focuses on preventing falls, injuries, and disorientation, especially in an unfamiliar environment. Keeping side rails up at all times (C) is a key measure to prevent falls, particularly during sleep or if the client attempts to get out of bed unassisted, which is a common risk during initial hospitalization. Option A (removing unnecessary furniture) reduces clutter and tripping hazards but is less directly tied to immediate bedside safety. Option B (lights on at all times) may disrupt sleep and is impractical unless needed for observation, not universally ensuring safety. Option D (hiding equipment) may reduce anxiety but does not directly enhance physical safety and could hinder access to necessary tools. Side rails provide a physical barrier, aligning with evidence-based fall prevention protocols in hospitals, making C the most effective safety action for a first-time hospitalized client.
Question 2 of 5
Mr. Gary's wife noticed that there is a death rattle coming from Mr. Gary's throat. This is due to?
Correct Answer: D
Rationale: Death rattle in Mr. Gary results from pooling secretions (A), lost cough reflex (B), and muscle tone loss (C) all (D), per terminal signs. Secretions accumulate, un-cleared due to weak reflexes and muscles, causing rattling. All contribute, making D the correct comprehensive cause.
Question 3 of 5
Which of the following statement is NOT true about autopsy?
Correct Answer: C
Rationale: Autopsy isn't done in all deaths (C) untrue; only specific cases (e.g., unclear cause), per protocol. Consent (A), cause (B), and future help (D) are true. C's universality fails, making it the untrue statement.
Question 4 of 5
Which of the following ethical principles is violated when the nurse forces Mr. Gary to take a medication he refused?
Correct Answer: A
Rationale: Forcing medication on refusing Mr. Gary violates autonomy (A) self-determination, per ethics. Beneficence (B) does good, justice (C) fairness, nonmaleficence (D) avoids harm not choice-based. A's breach of consent makes it correct.
Question 5 of 5
Which of the following statement is NOT true about Good Samaritan law?
Correct Answer: B
Rationale: Good Samaritan law protects emergency aid (A), applies in/out hospitals (C), doesn't cover gross negligence (D) 'stay until help' (B) isn't true, no such mandate. B's requirement misaligns, making it untrue.