ATI LPN
LPN Fundamentals Final Exam Questions
Question 1 of 5
A client with a traumatic brain injury has a Glasgow Coma Scale score of 8. Which nursing intervention is most appropriate?
Correct Answer: A
Rationale: GCS of 8 indicates severe injury; preparing for intubation (A) protects the airway. Ambulation (B), fluids (C), or bath (D) are inappropriate. A is correct. Rationale: GCS ≤8 risks airway compromise, requiring intubation readiness, per trauma care standards, prioritizing safety.
Question 2 of 5
The nursing supervisor has asked the staff to reduce the number of iatrogenic infections on the unit. Which of the following actions on your part would contribute to reducing iatrogenic infections?
Correct Answer: B
Rationale: Reducing iatrogenic infections those caused by healthcare requires proper IV procedures, as catheter sites are common infection entry points. Correct technique, like sterile insertion and maintenance, prevents pathogen introduction. Teaching hand washing helps clients but not staff-related infections, while bagging linens or isolating TB addresses specific cases, not broad iatrogenic risks. This action directly lowers infection rates tied to nursing interventions.
Question 3 of 5
The body's biggest organ is which of the following components of the body?
Correct Answer: B
Rationale: The skin, the largest organ, protects and regulates, unlike intestines or kidneys. Nurses prioritize skin care for its extensive role in health.
Question 4 of 5
When taking a radial pulse for half a minute, the nurse finds it to be irregular. Which of the following would be best for the nurse to do next?
Correct Answer: C
Rationale: An irregular radial pulse requires apical assessment for accuracy, as chest auscultation better detects rhythm issues. Longer radial or carotid checks are less precise. Nurses confirm this for cardiac evaluation.
Question 5 of 5
Which term refers to the ability to move freely and independently?
Correct Answer: B
Rationale: Mobility describes the capacity to move freely and independently, encompassing activities like walking or transferring without restriction. This term is fundamental in nursing, as it reflects a patient's functional ability to engage in daily tasks, critical for assessing health and planning care. In contrast, the inability to move freely defines a different state, often linked to health complications. Proper alignment and placement of a patient's body focus on comfort and prevention of issues, not movement itself. Maintaining balance and equilibrium relates to physical steadiness, not the active process of moving. Understanding this distinction helps nurses prioritize interventions that enhance a patient's independence, such as physical therapy, over merely stabilizing or positioning them, ensuring care aligns with restoring or maintaining functional capacity.