ATI LPN
Quizlet LPN Fundamentals Questions
Question 1 of 5
A fellow nurse who is working on another unit asks to read the chart of your assigned client. Which one of the following criteria would enable the nurse to have access to the chart?
Correct Answer: D
Rationale: Only nurses directly involved in a client's care can access their chart, per privacy laws like HIPAA, ensuring confidentiality. Being unrelated, licensed, or having verbal permission doesn't grant rights without a care role. This protects client information, a legal and ethical duty in nursing.
Question 2 of 5
Your assigned client, who has been talking with the doctor about pain control, later asks you what the doctor meant by 'pain threshold.' Which of the following would be the best reply?
Correct Answer: D
Rationale: Pain threshold is the stimulation level causing pain, distinct from relief, tolerance, or averages. Nurses clarify this for client understanding.
Question 3 of 5
Which musculoskeletal complication can occur due to prolonged immobility?
Correct Answer: C
Rationale: Prolonged immobility leads to osteoporosis, where bones weaken and become brittle due to reduced weight-bearing activity and mineral loss a significant risk for fractures. Muscle strength and joint flexibility decline, not improve, with disuse, and contractures become more likely as muscles shorten. Nurses combat this with range-of-motion exercises or weight-bearing support, recognizing that bone density loss is a pressing musculoskeletal threat in long-term immobility, necessitating preventive strategies to maintain skeletal health and patient mobility.
Question 4 of 5
Which intervention should the nurse prioritize to promote effective airway clearance in a client with impaired oxygenation?
Correct Answer: C
Rationale: Encouraging deep breathing and coughing (C) is the priority to promote airway clearance in impaired oxygenation, as it mobilizes secretions, preventing obstruction and enhancing gas exchange. Incentive spirometry (A) expands lungs but doesn't directly clear airways. Bronchodilators (B) relieve bronchospasm, aiding airflow, not secretion removal. High Fowler's (D) improves lung expansion but doesn't address secretions. Deep breathing inflates alveoli, while coughing expels mucus, directly tackling the root of impaired oxygenation, per respiratory therapy principles, reducing risks like atelectasis or pneumonia.
Question 5 of 5
Which statement by a client on oxygen therapy indicates the need for further education?
Correct Answer: B
Rationale: Securing tubing under furniture legs (B) indicates a need for education, as it risks kinking or disconnection, disrupting oxygen flow and posing a safety hazard. Avoiding smoking (A) and flames (C) are correct safety measures. Water-based moisturizer (D) is appropriate. Proper tubing management education, per safety standards, prevents accidents.