ATI LPN
LPN Fundamentals of Nursing Test Questions
Question 1 of 5
A nurse is moving to another state and will be working at an acute care facility. Prior to beginning practice, what actions should the nurse take to be compliant with state guidelines for nursing practice?
Correct Answer: A
Rationale: Relocating to practice nursing in a new state requires diligence to ensure compliance with local regulations, as each state's nurse practice act varies, even within compact states. Researching the laws and regulations governing nursing practice in the new state is a critical first step, providing insight into licensure requirements, scope of practice, and any unique provisions. Locating the state nursing practice act, often available online, offers the primary source of these rules, allowing the nurse to study and reference them regularly for updates. Accessing educational resources, like those from the National Council of State Boards of Nursing (NCSBN), further clarifies expectations. Visiting the state board isn't necessary unless required for licensure, and notifying the current state isn't typically mandatory unless exiting a compact agreement. These actions ensure the nurse practices legally and safely, adapting to the new state's standards while protecting their professional integrity and patient safety.
Question 2 of 5
The nurse is addressing primary prevention with a group of college students. Which promotional statement by the nurse would be the best example of a developmentally appropriate discussion?
Correct Answer: C
Rationale: For college students, a developmentally appropriate primary prevention discussion targets relevant risks like sexual activity making 'Use of condoms can help prevent STIs and unwanted pregnancy' ideal. This addresses immediate health choices, promoting safety and averting disease or complications, fitting their life stage where sexual exploration peaks. Papanicolaou tests, HIV screening, and testicular exams are secondary prevention, focusing on early detection, less aligned with primary prevention's preemptive ethos. Condom use education empowers students with actionable, age-specific knowledge, reducing STI rates (e.g., chlamydia, prevalent in young adults) and unplanned pregnancies. This aligns with nursing's preventive focus, tailoring advice to developmental needs, ensuring relevance and impact for a population navigating new independence.
Question 3 of 5
A nurse working in a community setting is focusing on illness prevention for a group of clients who have risk factors for varying chronic illnesses. Which nursing action reflects primary prevention for this group?
Correct Answer: C
Rationale: Primary prevention stops illness before it begins, ideal for clients with risk factors but no disease. Educating about exercise benefits like reducing heart disease odds promotes healthy habits, targeting risks such as obesity or inactivity common across chronic conditions. Screening for cholesterol is secondary, detecting issues, not preventing them. Referring to a nutritionist could be primary but often follows identified needs, leaning tertiary. Planning care for hypertension is tertiary, managing a diagnosis. Exercise education empowers this group proactively evidence shows it cuts diabetes and cardiovascular risk fitting community nursing's preventive focus. This action builds resilience, aligning with nursing's goal to avert chronic illness onset through accessible, universal lifestyle changes, not reactive care.
Question 4 of 5
The nurse provides education during the discharge of a client who has a diagnosis of multiple sclerosis. Which priority statement does the nurse include in the teaching?
Correct Answer: A
Rationale: For a client with multiple sclerosis (MS), a chronic condition causing neurological disability, discharge teaching prioritizes safety and adaptation. Scheduling an occupational therapist for a home safety assessment (A) is the priority statement, addressing risks like falls due to weakness or spasticity, common in MS. Daily exercise (B) benefits mobility but isn't the top concern without context of ability. Incontinence products (C) manage symptoms but don't prevent harm. Social support (D) aids emotionally but lacks immediacy. A is chosen for its proactive safety focus. Rationale: MS often impairs coordination and strength; a tailored home assessment reduces injury risk, aligning with nursing's emphasis on prevention and independence, critical for long-term management over symptomatic relief or support alone.
Question 5 of 5
The nurse is suctioning an adult client through a tracheostomy tube. During the procedure, the nurse notes that the client's oxygen saturation by pulse oximetry is $89 \%$. Which action should the nurse implement?
Correct Answer: C
Rationale: An oxygen saturation of $89% during suctioning indicates hypoxia; stopping the procedure (C) is the priority to restore oxygenation. Continuing (A) worsens desaturation. Calling respiratory (B) or changing catheters (D) delays action. C is correct. Rationale: Ceasing suctioning allows reoxygenation, preventing further decline, a critical step per oxygenation management guidelines, prioritizing patient stability.