ATI LPN
LPN Fundamentals of Nursing ATI Questions
Question 1 of 5
Comprehensive, individualized care provided by the same nurse throughout the period of care refers to
Correct Answer: B
Rationale: Primary nursing assigns one nurse to oversee a patient's entire care, ensuring continuity and personalized attention from admission to discharge. Team nursing divides tasks among a group, reducing individual accountability. Home health nursing occurs outside hospitals, and critical care nursing focuses on acute conditions, not necessarily continuity. Primary nursing fosters trust, consistency, and tailored interventions, improving outcomes by aligning care with the patient's unique needs over time.
Question 2 of 5
Treatment of hypothermia by active core warming is done by all except:
Correct Answer: C
Rationale: Active core warming treats severe hypothermia by directly heating internal systems: airway rewarming (warm humidified air), extracorporeal rewarming (blood warming). Passive external rewarming (blankets) relies on body heat, not active core methods. Nurses use active techniques in critical cases, rapidly raising core temperature to prevent organ failure, contrasting with passive's slower effect.
Question 3 of 5
During a change-of-shift report, it would be important for the nurse relinquishing responsibility for the care of the patient to communicate. Which of the following facts to the nurse assuming responsibility for the care of the patient?
Correct Answer: C
Rationale: The removal of the nasogastric tube (NGT) 2 hours ago is the most critical update during a shift change, as it alters the patient's care plan impacting nutrition, medication delivery, and monitoring needs (e.g., for nausea or aspiration). The oncoming nurse must know this to adjust interventions and assess post-removal effects, ensuring continuity. A resolved headache is useful but less urgent, lacking immediate care implications. A negative barium enema from 3 days ago is historical, not current, and less relevant to immediate needs. Family visits are psychosocially notable but don't directly guide clinical action. The NGT removal's recency and impact make it the priority, enabling seamless, safe care transition per nursing standards.
Question 4 of 5
To initiate an intervention the nurse must be competent in three areas, which include:
Correct Answer: A
Rationale: Initiating interventions requires competence in knowledge (understanding the intervention's basis, e.g., why a drug works), function (applying it practically, e.g., administering it correctly), and specific skills (technical proficiency, e.g., IV insertion). This trio ensures safe, effective action e.g., giving insulin requires knowing its effects, how to deliver it, and injection technique. Experience and advanced education enhance competence but aren't core areas; they build on knowledge and skills. Skills, finances, and leadership are disjointed finances aren't a clinical competency, and leadership is broader than intervention execution. Leadership, autonomy, and skills mix role attributes with ability, missing function's practical focus. Knowledge, function, and specific skills form the essential framework for nurses to act confidently and competently, aligning with standards for intervention delivery in patient care.
Question 5 of 5
The appropriate position of a patients neck to facilitate introduction of a nasogastric tube into the nostril is:
Correct Answer: C
Rationale: The neck should be extended tilted slightly back during nasogastric (NG) tube insertion to align the nasal passage, pharynx, and esophagus, easing the tube's path to the stomach. Hyperextension (extreme backward tilt) over-aligns, risking airway entry or discomfort. Flexion (chin to chest) closes the pharynx, obstructing passage and increasing gagging or esophageal misplacement risk. Rotation to the left misaligns anatomy, complicating insertion without aiding trajectory. Extension, often with a pillow removed, straightens the route, reducing resistance and trauma (e.g., nasal irritation), making it the recommended position in nursing practice for safe, efficient NG tube placement.