ATI LPN
Nursing Fundamental Physical Assessment LPN Questions
Question 1 of 5
Icheanne asked you again, What is that term that describes the magnetic attraction of injured tissue to bring phagocytes to the site of injury?
Correct Answer: D
Rationale: The term for the 'magnetic attraction' of injured tissue drawing phagocytes is chemotaxis, but it's not listed. Among the options, D ('I don't know ) is correct as it acknowledges the absence of the precise term. Diapedesis (B) is the process of phagocytes squeezing through vessel walls, not attraction. Emigration (C) is their movement out of vessels, not the pull. Option A dismisses the question. Chemotaxis involves chemical signals (e.g., cytokines) luring phagocytes, but since it's missing, D reflects the nurse's honest uncertainty, aligning with the need for accuracy in medical terminology.
Question 2 of 5
The tsunami in Thailand and Indonesia took thousands of people and change million lives. The people affected by the Tsunami are saddened and do not know how to start all over again. What type of crisis is this?
Correct Answer: A
Rationale: The tsunami triggers a situational crisis (A), an external disaster altering lives, per crisis models. Maturational (B) is developmental, not event-based. Social (C) and phenomenal (D) aren't standard. Situational fits this catastrophic loss, making A correct.
Question 3 of 5
Which of the following indicates that learning has been achieved?
Correct Answer: A
Rationale: Learning is achieved when Matuts exercises and diets (A), showing behavior change, per Bloom's psychomotor domain. Repeating steps (B) is recall, not application. 'I understand' (C) lacks evidence, quiz score (D) tests knowledge, not action. A proves application, making it correct.
Question 4 of 5
Nurse Angela, observe Joel who is very apprehensive over the impending operation. The client is experiencing dyspnea, diaphoresis and asks lots of questions. Angela made a diagnosis of ANXIETY R/T INTRUSIVE PROCEDURE. This is what type of Nursing Diagnosis?
Correct Answer: A
Rationale: Angela's diagnosis 'Anxiety R/T intrusive procedure' is actual (A); Joel's dyspnea, diaphoresis, and questions are present signs, per NANDA. Probable (B) and possible (C) lack evidence, risk (D) predicts. A matches current data, making it correct.
Question 5 of 5
A client is hospitalized for the first time, which of the following actions ensure the safety of the client?
Correct Answer: C
Rationale: Hospital safety for a newly admitted client focuses on preventing falls, injuries, and disorientation, especially in an unfamiliar environment. Keeping side rails up at all times (C) is a key measure to prevent falls, particularly during sleep or if the client attempts to get out of bed unassisted, which is a common risk during initial hospitalization. Option A (removing unnecessary furniture) reduces clutter and tripping hazards but is less directly tied to immediate bedside safety. Option B (lights on at all times) may disrupt sleep and is impractical unless needed for observation, not universally ensuring safety. Option D (hiding equipment) may reduce anxiety but does not directly enhance physical safety and could hinder access to necessary tools. Side rails provide a physical barrier, aligning with evidence-based fall prevention protocols in hospitals, making C the most effective safety action for a first-time hospitalized client.