ATI LPN
LPN Fundamentals Questions Questions
Question 1 of 5
A nurse provides interventions for clients in a long-term care facility to help them meet their intellectual needs. Which nursing actions promote these needs?
Correct Answer: A
Rationale: Intellectual needs in long-term care involve cognition and learning, shaping health responses. Educating a diabetic client on foot care meets this, enhancing understanding of self-management e.g., preventing ulcers tied to past experiences and education level. Showing a video on modified activities engages residents, teaching adaptive skills like chair exercises, boosting cognitive engagement. Shutting a cafeteria addresses safety, not intellect. Referring for grief targets emotional needs, not cognitive. These actions foot care, video stimulate thinking and problem-solving, key for older adults' autonomy and health behaviors, aligning with nursing's holistic aim to nurture intellectual vitality alongside physical care in chronic settings.
Question 2 of 5
A nurse suctioning a client through an endotracheal tube monitors the client for complications associated with the procedure. Which of the following assessments indicates a complication?
Correct Answer: B
Rationale: An irregular heart rate (B) during suctioning signals a complication, possibly arrhythmia from hypoxia or vagal stimulation. Other options are normal or benign. Rationale: Suctioning can disrupt oxygenation, triggering cardiac instability, requiring immediate cessation and monitoring.
Question 3 of 5
The nurse is assisting a health care provider with the insertion of an endotracheal tube (ETT). The nurse should plan to ensure that which is done as a final measure to determine correct tube placement?
Correct Answer: D
Rationale: Chest x-ray (D) is the final, definitive measure to confirm ETT placement. Hyperoxygenation (A) is preparatory. Breath sounds (C) are initial checks. Taping (B) follows confirmation. D is correct. Rationale: X-ray ensures the tube is above the carina, preventing misplacement, per intubation standards.
Question 4 of 5
Embryos that are produced by in vitro fertilization can be screened for genetic disease. Outline the process of in vitro fertilization, including one example of a situation when it is used.
Correct Answer: C
Rationale: IVF involves ovarian stimulation, egg retrieval, sperm processing, fertilization, and embryo transfer. Need for genetic screening (C) is a situation, e.g., cystic fibrosis risk. Other options are valid but not the focus. C is correct. Rationale: IVF with preimplantation genetic diagnosis screens embryos for diseases, a key use, per reproductive medicine standards.
Question 5 of 5
A client reports left-sided chest pain after playing racquetball. The client is hospitalized and diagnosed with left pneumothorax. When assessing the client's left chest area, the nurse expects to identify which finding?
Correct Answer: D
Rationale: Left pneumothorax causes absence of breath sounds (D) on the affected side due to lung collapse. Dullness (A) suggests consolidation. Fremitus (B) decreases. Rales/rhonchi (C) indicate fluid. D is correct. Rationale: Air in the pleural space silences breath sounds, a hallmark of pneumothorax, per respiratory assessment, guiding diagnosis and intervention.