ATI LPN
LPN Fundamentals of Nursing Course Questions
Question 1 of 5
Evidence-based care emphasizes decision making based on the best available evidence and:
Correct Answer: A
Rationale: Evidence-based care revolutionizes nursing by grounding decisions in the best available evidence, paired with the use of outcome studies to guide practice. This approach integrates research findings such as clinical trials or systematic reviews with patient outcomes, ensuring interventions are effective and measurable, not just theoretical. Specialty knowledge, while useful, is narrower and expert-driven, lacking the broad research base of evidence-based practice. The traditional medical model relies on established routines, often without current validation, while economic concerns prioritize cost over efficacy, neither aligning with this method's focus. Outcome studies provide concrete data, like reduced recovery times or lower infection rates, allowing nurses to adapt care dynamically. This shift enhances quality, safety, and patient-centeredness, moving nursing beyond intuition or tradition to a scientifically robust framework that improves health delivery across diverse settings.
Question 2 of 5
A nurse is planning a health fair in the community to highlight promotion and prevention of the leading cause of death in the United States. Which disease process should the nurse address?
Correct Answer: C
Rationale: Coronary artery disease (CAD) is the U.S.'s leading killer, per CDC, making it the nurse's focus for a health fair on prevention and promotion. CAD artery blockages causing heart attacks outpaces lung cancer, emphysema, and strokes in mortality, driven by risks like hypertension or smoking. Addressing it involves teaching heart-healthy habits diet, exercise primary prevention to stop onset, vital in nursing's public health role. Lung cancer and emphysema, though serious, trail CAD, while strokes (cerebrovascular accidents) rank lower. A fair targeting CAD could screen cholesterol or promote activity, cutting its toll over 600,000 deaths yearly aligning with nursing's aim to tackle top health threats, enhancing community wellness through education and early action.
Question 3 of 5
A nurse is caring for a client with asthma in a community clinic. Which intervention reflects secondary prevention?
Correct Answer: C
Rationale: Secondary prevention spots disease shifts early, critical for asthma management. Monitoring peak flow readings tracking lung function detects drops signaling an attack, allowing timely intervention like inhaler use to prevent escalation, a nursing staple in clinics. Teaching trigger avoidance is primary, preventing attacks outright. Prescribing meds (a provider task) and exercise education lean tertiary, managing or enhancing life with asthma, not detecting. Peak flow checks simple, client-run catch subtle changes, as research shows regular monitoring cuts ER visits. This aligns with nursing's assessment focus, empowering the client to act before symptoms worsen, ensuring asthma stays controlled in a community setting where proactive care keeps chronic illness in check.
Question 4 of 5
Highlight the 6 findings that show improvement in the client's condition and/or adherence to treatment recommendations.
Correct Answer: A
Rationale: Post-cast removal, no pain (A) indicates improvement. Other findings like full ROM and no edema support this, but A is the single answer. Rationale: Pain cessation reflects healing, a primary recovery sign per orthopedic care.
Question 5 of 5
The nurse is caring for a client at home who has had a tracheostomy tube for several months. The nurse monitors the client for complications associated with the long-term tracheostomy and suspects tracheoesophageal fistula if which observation is noted for the client?
Correct Answer: A
Rationale: Long-term tracheostomy complication tracheoesophageal fistula (TEF) causes abdominal distention (A) from air entering the stomach. Drainage (B), secretions (C), or obstruction (D) are unrelated. A is correct. Rationale: TEF allows air leakage, inflating the abdomen, a key sign per chronic tracheostomy care.