ATI LPN
LPN Nursing Fundamentals Quizlet Questions
Question 1 of 5
A parent has brought a 6-year-old child into the clinic. The parent is concerned that the child does not seem to skip as well as the other children in the child's class. In planning assessments and care for this child, the nurse would be best served by choosing which theory as a foundation for decision making?
Correct Answer: D
Rationale: For a 6-year-old with potential motor skill concerns, developmental theory provides the best framework, focusing on predictable growth stages across physical, cognitive, and psychosocial domains. Rooted in works like Piaget's or Erikson's, it assesses whether the child's skipping ability aligns with age-expected milestones, guiding the nurse to evaluate coordination, strength, or neurological issues. General systems theory examines part-whole interactions, like family impact, but lacks stage-specific focus. Nursing theory broadly directs care outcomes, not developmental norms. Adaptation theory addresses environmental adjustments, less relevant here. Developmental theory's emphasis on maturation enables the nurse to compare the child's skills to peers, plan targeted assessments (e.g., motor tests), and tailor interventions like physical therapy referrals ensuring care addresses the parent's concern within a child's growth context.
Question 2 of 5
An older adult client has been recently diagnosed with vascular dementia. Because the client lives alone and has poorly controlled hypertension, the client has begun to receive home health care. This new aspect of the client's care is characteristic of which stage of illness?
Correct Answer: C
Rationale: With vascular dementia and uncontrolled hypertension, the client entering home health care reflects the 'assuming a dependent role' stage. This phase involves needing help with daily activities like medication management or mobility due to cognitive decline and physical risks, common as dementia progresses. Experiencing symptoms (e.g., memory loss) precedes this, while assuming a sick role involves acknowledging illness, not necessarily dependence. Recovery isn't likely with progressive dementia; rehabilitation aims to maintain function, but here, dependence dominates. Home care supports this shift, ensuring safety and care continuity for a client unable to live fully independently, aligning with nursing's role in adapting support to illness stages, especially for vulnerable elderly.
Question 3 of 5
A nurse is discussing illness prevention with a group of older adults in a community center. Which topic reflects primary prevention?
Correct Answer: B
Rationale: Primary prevention stops illness before it starts, key for older adults prone to infections. Teaching about flu vaccines promotes immunity, preventing flu a major risk as immunity wanes with age aligning with nursing's community education role. Prostate cancer and hearing loss screenings are secondary, detecting issues early. Memory clinic referrals are tertiary, managing dementia's effects. Flu vaccine education backed by data showing it cuts flu deaths in seniors empowers this group to act pre-exposure, a proactive step suiting a center's wellness focus. Nursing leverages this to reduce seasonal illness burden, ensuring older adults maintain health through accessible, evidence-based prevention, distinct from detection or treatment strategies.
Question 4 of 5
The nurse is providing endotracheal suctioning to a client who is mechanically ventilated when the client becomes restless and tachycardic. Which action should the nurse take?
Correct Answer: D
Rationale: Restlessness and tachycardia during suctioning indicate distress (e.g., hypoxia); discontinuing suctioning (D) is priority. Rationale: Stopping prevents further oxygen depletion, stabilizing the client first per airway management protocols.
Question 5 of 5
The nurse is assisting in caring for a client with a newly inserted tracheostomy. The nurse notes documentation of an airway problem because of thick respiratory secretions. The nurse should monitor for which item as the best indicator of an adequate respiratory status?
Correct Answer: B
Rationale: A respiratory rate of 18 (B) indicates adequate status in a tracheostomy client with thick secretions. Saturation of $89\%$ (A) is low. Secretions (C) or blood (D) suggest issues. B is correct. Rationale: Normal rate reflects effective ventilation despite secretions, per respiratory assessment criteria.