ATI LPN
Nursing Fundamental Physical Assessment LPN Questions
Question 1 of 5
A client with an oral endotracheal tube attached to a mechanical ventilator is about to begin the weaning process. The nurse asks the health care provider whether this process should be delayed temporarily, based on administration of which medication to the client in the last hour?
Correct Answer: A
Rationale: Lorazepam (A), a sedative, may delay weaning by depressing respiratory drive. Furosemide (B), digoxin (C), and metoclopramide (D) don't directly affect this. A is correct. Rationale: Sedation impairs spontaneous breathing, critical for weaning, per ventilator management protocols.
Question 2 of 5
A client arrives in the emergency department with multiple crushing wounds of the chest, abdomen, and legs. Which are the priority nursing assessments?
Correct Answer: C
Rationale: In multiple trauma, quality of respirations and pulses (C) assess airway and circulation, per ABCs. LOC/pupils (A), pain/BP (B), and wounds (D) follow. C is correct. Rationale: Breathing and perfusion are immediate life threats in crush injuries, guiding resuscitation, per trauma triage standards.
Question 3 of 5
The nurse is caring for a client with a spinal cord injury who is receiving intravenous fluids. Which finding indicates that the client is experiencing fluid overload?
Correct Answer: A
Rationale: Crackles (A) indicate fluid overload in SCI from excess IV fluids entering alveoli. Normal BP (B), pulse (C), or output (D) don't suggest this. A is correct. Rationale: Pulmonary edema from overload requires fluid adjustment, per critical care monitoring, critical in immobile SCI patients.
Question 4 of 5
Nurses, as they progress in their education, will most likely do which of the following things?
Correct Answer: A
Rationale: As nurses advance in education, they are likely to develop a personal theory of nursing, integrating knowledge, experience, and values into a unique care philosophy. This evolution reflects deeper understanding of theoretical frameworks like Orem's self-care model and their application to practice, fostering professional identity. Losing critical thinking or interest in bedside nursing contradicts educational goals, which aim to sharpen skills and passion for client care. Enjoying paperwork might occur but isn't a primary outcome. Developing a personal theory empowers nurses to adapt care creatively, such as tailoring interventions to a client's cultural needs, enhancing both competence and advocacy in complex clinical settings.
Question 5 of 5
One of your assigned clients who is scheduled for radiation therapy asks you to stay with her during radiation because she is scared. Your best response to this request would be which of the following responses?
Correct Answer: A
Rationale: Responding to a client's fear of radiation by suggesting ways to reduce it, while explaining the nurse must stay distant, balances empathy with safety. Radiation exposure risks prevent close contact, making hand-holding or permission-seeking impractical and hazardous. Dismissing fear invalidates the client's feelings. Offering alternatives like relaxation techniques addresses anxiety constructively, aligning with nursing's supportive role while adhering to radiation protocols.