ATI LPN
LPN Nursing Fundamentals Quizlet Questions
Question 1 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 2 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 3 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.
Question 4 of 5
Explain, using an example, how females but not males can be carriers of some recessive alleles.
Correct Answer: A
Rationale: Females (A) can carry recessive X-linked alleles (e.g., haemophilia) without expression due to a second X. Males (B) express them with one X. C and D are examples, not explanations. A is correct. Rationale: XX females mask recessive traits, unlike XY males, a genetic principle per sex-linked inheritance.
Question 5 of 5
The nurse is caring for a client with a diagnosis of necrotizing fasciitis. Which is the priority concern of the nurse when caring for this client?
Correct Answer: B
Rationale: Necrotizing fasciitis, a flesh-eating infection, prioritizes skin integrity (B) due to rapid tissue destruction. Fluid (A), mobility (C), and urination (D) are secondary. B is correct. Rationale: Skin breakdown drives sepsis risk, requiring urgent debridement and antibiotics, per infectious disease care, over other systemic concerns.