ATI LPN
LPN Fundamentals Questions
Question 1 of 5
Chest tube inserted into 2nd or 3rd intercostal space is suggestive of:
Correct Answer: A
Rationale: Chest tube placement depends on the condition. The 2nd or 3rd intercostal space, midclavicular line, is used for pneumothorax (choice A), as air rises to the lung apex, requiring drainage to re-expand the lung. Hemothorax (choice B) or pyothorax (choice C) involves blood or pus, typically drained from the 5th-6th intercostal space (triangle of safety) where fluid collects. Emphysema (choice D, likely a typo for empyema) isn't treated with apical tubes. A is correct, as the location matches pneumothorax management. Nurses monitor drainage, ensure tube patency, and assess breathing, critical for recovery.
Question 2 of 5
Type of healing when scars are minimal due to careful surgical incision and good healing
Correct Answer: A
Rationale: First intention healing (A) results in minimal scarring due to careful surgical incision, immediate closure, and optimal healing conditions. Edges are approximated with sutures, reducing granulation and scar tissue. Second intention (B) involves open wounds healing by granulation, often leaving larger scars. Third intention (C) delays closure for infected wounds, increasing scarring. Fourth intention (D) isn't valid. First intention's precision and lack of complications like infection or tension minimize scar formation, aligning with the description and making A the correct choice.
Question 3 of 5
Which of the following statement, if made by the nurse, is considered not therapeutic?
Correct Answer: B
Rationale: It must be awful (B) isn't therapeutic; it assumes the client's feelings, projecting the nurse's view, per Rogers. Asking past coping (A), feelings (C), or triggers (D) invites exploration, fostering trust. B risks shutting down dialogue by implying judgment, not empathy, making it non-therapeutic and the correct answer.
Question 4 of 5
What is the best intervention when the client has just experienced the crisis and still at the first phase of the crisis?
Correct Answer: C
Rationale: In the first crisis phase (acute distress), cognitive therapy (C) is best, addressing distorted thoughts to reduce panic, per crisis intervention. Behavior therapy (A) modifies actions later. Gestalt (B) explores awareness, less urgent. Milieu (D) uses environment, not immediate. Cognitive therapy stabilizes thinking, making C correct.
Question 5 of 5
Which of the following is TRUE with regards to learning?
Correct Answer: D
Rationale: Do not teach in pain' (D) is true; pain hinders focus, per learning theory. Complex-to-simple (A) reverses progression, hard goals (B) discourage, visual-only (C) ignores styles. D ensures effective learning, making it correct.