ATI LPN
HESI LPN Fundamentals Test Questions
Question 1 of 5
A client who was in a motorbike accident has a severe neck injury. Which priority nursing care is most needed?
Correct Answer: C
Rationale: Severe neck injury from a motorbike accident prioritizes maintaining a patent airway (C), as trauma may obstruct breathing. Crepitus (A), bleeding (B), and neuro checks (D) follow. C is correct. Rationale: Airway patency is the first ABC step in trauma, preventing hypoxia, per emergency care protocols, critical in neck injuries with potential swelling or fracture.
Question 2 of 5
You are a student nurse working as a part-time or temporary nursing assistant in a nursing home. The nurse on duty asks you to insert a nasogastric tube in a patient. You have recently passed an examination on putting in a nasogastric tube. Which of the following actions is best on your part?
Correct Answer: D
Rationale: As a student nurse working as a nursing assistant, refusing to insert a nasogastric tube is the best action because it exceeds your legal scope of practice. Nursing assistants, even with training, are not authorized to perform invasive procedures like NG tube insertion, which requires a licensed nurse's skill and accountability. Doing it, even with supervision, risks legal and safety violations, as your role is limited to basic care. Consulting an instructor delays action and doesn't resolve the legal issue. Informing the nurse of your limitation upholds professional boundaries, protects the patient from potential harm due to inexperience, and ensures compliance with regulations, prioritizing safety and legality over task completion.
Question 3 of 5
When restraining a client in bed with a sleeveless jacket (vest) with straps, you will do which of the following things?
Correct Answer: D
Rationale: Using a quick-release knot to secure a vest restraint ensures safety by allowing rapid removal in emergencies, like respiratory distress. Tying to side rails or movable frames risks injury if the bed adjusts, and square knots are hard to undo quickly. Quick-release knots comply with safety standards, balancing restraint necessity with the ability to free the client swiftly, a critical consideration in nursing to prevent harm while managing behavior.
Question 4 of 5
In the Problem Oriented Medical Record documentation system (POMR), which of the following answers best represents the person or persons who may contribute to the problem list representing the client's physiologic, psychologic, social, cultural, spiritual, developmental, and environmental needs?
Correct Answer: D
Rationale: In POMR, all caregivers contribute to the problem list, reflecting a holistic view of the client's needs across domains. This interdisciplinary input from nurses, physicians, social workers ensures comprehensive care, like noting spiritual distress alongside physical issues. Limiting to specific roles misses diverse perspectives, a strength of this system in nursing documentation.
Question 5 of 5
The skin produces and absorbs which of the following vitamins in conjunction with the ultraviolet rays of the Sun, which activate this particular vitamin's precursor present in the skin?
Correct Answer: A
Rationale: Skin produces and absorbs vitamin D via UV rays activating its precursor, unlike C, E, or K. Nurses teach this for bone health awareness.