ATI LPN
LPN Fundamentals Questions Questions
Question 1 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 2 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 3 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.
Question 4 of 5
The nurse is caring for a client with a traumatic brain injury who has an intracranial pressure (ICP) monitoring device in place. The ICP reading suddenly increases to $25 \mathrm{mmHg}$. Which action should the nurse take first?
Correct Answer: D
Rationale: ICP of 25 mmHg requires elevating HOB to 30 degrees (D) first to reduce pressure via venous drainage. Notification (A), pupils (B), or mannitol (C) follow. D is correct. Rationale: Immediate elevation lowers ICP non-invasively, a first-line action per neurocare protocols, buying time for further assessment.
Question 5 of 5
In the daily practice of nursing, nurses use critical thinking in:
Correct Answer: A
Rationale: Critical thinking in daily nursing practice is most evident when setting priorities, as it requires analyzing client needs, urgency, and resources to determine the order of care. This process involves evaluating multiple factors like a client's condition or time-sensitive tasks and making reasoned judgments, a hallmark of critical thinking. While it's used in every decision ideally, this isn't always practical or conscious for routine tasks like calling the pharmacy or checking supplies, which may rely more on habit or protocol. Prioritization, however, demands active synthesis of data, such as deciding to address a deteriorating patient before a stable one, ensuring efficient and safe care delivery. This application underscores its role in managing complex, dynamic workloads effectively.