ATI LPN
LPN Fundamentals Final Exam Questions
Question 1 of 9
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 9
The physician has ordered antibiotic therapy for a client with a Gram-negative infection. The nurse can expect the physician to order:
Correct Answer: C
Rationale: Gentamicin, an aminoglycoside, targets Gram-negative infections (e.g., E. coli), effective against their cell walls penicillin and cefazolin favor Gram-positive, erythromycin less so. Nurses anticipate this, monitoring for nephrotoxicity or ototoxicity, ensuring proper dosing for bacterial clearance in this client.
Question 3 of 9
Which of the following is TRUE about the human needs?
Correct Answer: D
Rationale: Maslow's theory (1940s) allows need priorities to shift e.g., safety over hunger in danger. Needs interrelate (esteem ties to safety), aren't rigid, and can defer. Nurses adapt e.g., tackling pain before teaching reflecting this flexibility, key to responsive care planning.
Question 4 of 9
The client underwent a colon surgery yesterday, and just started on ice chips today, Which of the following assessment findings demonstrates a need for nursing intervention?
Correct Answer: B
Rationale: Absence of bowel sounds post-colon surgery e.g., ileus needs intervention (e.g., notify MD), unlike hypoactive (returning), mixed, or hyperactive (normalizing). Nurses assess e.g., auscultation for complications, per post-op care.
Question 5 of 9
Most priority nursing intervention while caring for a child who is suffering from tonic-clonic seizure?
Correct Answer: C
Rationale: During tonic-clonic seizures, safety is paramount. Oxygen (choice A) may follow but isn't first. Sitting/water (choice B) risks aspiration, inappropriate. Protecting from injury (choice C) padding, clearing objects prevents harm during convulsions. Restraints (choice D) worsen injury. C is correct, per seizure protocol. Nurses time seizures, ensure airway post-ictal, and reassure, prioritizing safety.
Question 6 of 9
The purpose of oxygen reservoir bag in partial re-breathing mask is to:
Correct Answer: D
Rationale: The oxygen reservoir bag in a partial re-breathing mask stores oxygen, allowing the client to re-breathe the first third of exhaled air rich in oxygen, low in CO2 mixed with supplemental O2. This boosts FiO2 (40-60%) cost-effectively, ideal for moderate hypoxia (e.g., pneumonia). Encouraging CO2 re-breathing risks hypercapnia, opposite to intent. Reducing FiO2 contradicts the mask's purpose enhancing oxygen delivery. Precise FiO2 control fits non-rebreathing masks, not partial, which varies slightly. The re-breathing mechanism optimizes oxygen use, making this the correct function per respiratory care standards.
Question 7 of 9
Which of the following statement best describe risk management in nursing?
Correct Answer: B
Rationale: Risk management is reducing care risks (B), per nursing e.g., preventing errors. Not increasing (A), not duty (C), not financial (D) safety-focused. B best defines its protective role, safeguarding Mr. Gary, making it correct.
Question 8 of 9
Mr. Gary feels less masculine after his surgery. This is an example of?
Correct Answer: A
Rationale: Feeling less masculine post-surgery is sexuality (A) sexual identity shift, per definition. Body image (B) is body view, self-esteem (C) worth, role performance (D) roles not gender-specific. A fits sexual self-perception, making it correct.
Question 9 of 9
Imelda, was slashed and hacked by an unknown suspects. She suffered massive tissue loss and laceration on her arms and elbow in an attempt to evade the criminal. As a nurse, you know that the type of healing that will most likely occur to Miss Imelda is
Correct Answer: B
Rationale: Imelda's massive tissue loss and lacerations suggest second intention healing (B). This occurs in large, open wounds where edges can't be sutured, healing via granulation tissue formation from the base up, often with significant scarring. First intention (A) requires clean, approximated edges, not feasible here. Third intention (C) involves delayed closure of infected wounds, but the scenario doesn't specify infection or surgical delay. Fourth intention (D) isn't recognized. Second intention fits extensive trauma with tissue loss, as the body fills the defect naturally, making B the correct answer.