ATI LPN
Fundamentals of Nursing LPN Questions
Question 1 of 5
A nurse is caring for a middle-aged client who states, 'I haven't had a physical exam for over a decade because I've been healthy.' Which nursing response promotes health for this client?
Correct Answer: A
Rationale: Promoting health for a middle-aged client who hasn't had a checkup in years requires proactive encouragement, as many conditions like hypertension or early cancer progress silently. The nurse's response should urge scheduling an exam soon, emphasizing that symptom absence doesn't guarantee health, especially in middle age when risks rise. This aligns with primary and secondary prevention, catching issues before they escalate, like detecting high cholesterol to prevent heart disease. Dismissing exams until symptoms appear ignores evidence screenings save lives by identifying treatable issues early. Vague reassurance or suggesting exams are optional undermines health promotion, while claiming middle age frees one from checkups contradicts medical consensus on aging risks. The nurse empowers the client with facts, fostering responsibility and awareness, key to nursing's role in averting preventable decline through routine care.
Question 2 of 5
The nurse is assigned to care for a client after a left pneumonectomy. Which position is contraindicated for this client?
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 3 of 5
The nurse is performing nasotracheal suctioning of a client. The nurse determines that the client is adequately tolerating the procedure if which observation is made?
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 4 of 5
The nurse is caring for a client with a spinal cord injury. Which assessment findings alert the nurse that the client is developing autonomic hyperreflexia (autonomic dysreflexia)?
Correct Answer: A
Rationale: Autonomic dysreflexia in spinal cord injury features hypertension and bradycardia (A) from unopposed sympathetic response below the injury. Paralysis (B) is baseline. Sweating/pyrexia (C) or tachycardia/shock (D) don't fit. A is correct. Rationale: Reflexive BP spike and slowed heart rate signal this emergency, requiring immediate action like removing stimuli, per SCI care.
Question 5 of 5
A client with a traumatic brain injury is receiving mechanical ventilation. The nurse notes that the client's intracranial pressure (ICP) is $18 \mathrm{mmHg}$. Which ventilator setting should the nurse question?
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.