ATI LPN
LPN Nursing Fundamentals Questions
Question 1 of 5
In a 24 hour urine specimen started Friday, 9:00 A.M, which of the following if done by a Nurse indicate a NEED for further procedural debriefing?
Correct Answer: A
Rationale: Including 9:00 AM Friday urine pre-start skews 24-hour totals (9 AM Fri-Sat); it's discarded. Discarding start, including end, preserving are correct. Nurses need debrief e.g., timing for accuracy, per standards.
Question 2 of 5
A recently licensed registered nurse is preparing to enter practice in an acute care facility and wants to practice within the guidelines of that state. When preparing to research the state nurse practice act, what information is important to obtain?
Correct Answer: C
Rationale: State nurse practice acts are critical legal frameworks that govern nursing practice within each jurisdiction, ensuring safe and competent care. For a newly licensed registered nurse, understanding the definition of the legal scope of nursing practice is essential, as it outlines what nurses are authorized to do, including specific tasks, responsibilities, and limitations in an acute care setting. Equally important is the definition of key terms related to nursing, which clarifies concepts like licensure, delegation, and accountability, helping the nurse navigate their role legally and ethically. While the NCLEX content is vital for licensure, it's a national exam and not state-specific. Knowing the members of the state board of nursing might be useful for context but isn't directly relevant to daily practice guidelines. The nurse practice act provides the foundational rules for compliance, protecting both the nurse and the public by setting clear professional boundaries and expectations.
Question 3 of 5
A nurse working on a busy acute care unit is planning care for a group of clients. Which nursing action best exemplifies the primary focus of the nurse's role?
Correct Answer: D
Rationale: Nursing's primary focus is promoting health and wellness holistically, partnering with clients to address physical, emotional, and spiritual needs. Comforting a client after bad diagnostic results exemplifies this, offering emotional support during distress, reinforcing trust, and aiding coping core to nursing's caring essence. Focusing on procedures prioritizes tasks over people, while adjusting the environment supports care delivery indirectly. Monitoring health status is vital but reactive, not the central focus. Comforting reflects nursing's commitment to the whole person, not just illness, aligning with its mission to foster well-being across diverse settings. This action embodies the nurse's role as a compassionate advocate, pivotal in acute care where emotional needs often peak alongside physical ones, enhancing overall client resilience.
Question 4 of 5
A group of nurses is participating in a community health fair and is engaged in primary prevention activities. Which activities would these nurses be leading?
Correct Answer: A
Rationale: Primary prevention aims to promote health and stop disease before it starts, a key nursing role at health fairs. Family planning services educate on contraception, preventing unintended pregnancies a proactive health step. Accident prevention education, like teaching helmet use, averts injuries, targeting safety before incidents. Heart-healthy nutrition services promote diets reducing cardiovascular risk, fostering wellness pre-disease. Skin cancer screening, though vital, is secondary prevention, detecting issues early, not preventing onset. Rehabilitation for back pain is tertiary, managing existing conditions. These primary activities planning, safety, nutrition empower communities with knowledge and habits to sidestep illness, aligning with nursing's preventive focus, leveraging education to build health resilience before crises emerge.
Question 5 of 5
The nurse is planning care for a client with a chronic illness. Which intervention reflects tertiary prevention?
Correct Answer: B
Rationale: Tertiary prevention optimizes life with a chronic illness, reducing its impact post-diagnosis. Teaching strategies for living with it like pacing activities for arthritis helps the client adapt, minimizing disability and enhancing function, a nursing priority. Screening for depression is secondary, detecting new issues, not managing the existing one. An annual flu vaccine is primary, preventing unrelated illness, not addressing the chronic condition's effects. Educating about transmission fits infectious cases, not all chronic ones. This intervention tailored coping reflects nursing's role in rehabilitation, ensuring clients thrive despite limits. For instance, teaching a heart failure client fluid management cuts readmissions, aligning with tertiary care's focus on sustaining quality of life through practical, illness-specific support.