ATI LPN
LPN Fundamentals of Nursing ATI Questions
Question 1 of 5
Initially after a stroke, a client's pupils are equal and reactive to light. Later, the nurse assesses that the right pupil is reacting more slowly than the left and that the systolic blood pressure is beginning to rise. What complication should the nurse consider that the client is developing?
Correct Answer: D
Rationale: Slow pupil reaction and rising systolic BP post-stroke suggest increasing ICP (D), part of Cushing's triad. Spinal (A) or hypovolemic shock (B) don't fit. Herniation (C) is a result, not the process. D is correct. Rationale: ICP rise from stroke edema causes neurological and hemodynamic changes, requiring urgent management, per stroke care protocols.
Question 2 of 5
The nurse is assessing a client with a traumatic brain injury. Which finding indicates a worsening condition that requires immediate reporting to the healthcare provider?
Correct Answer: D
Rationale: A fixed, dilated pupil (D) indicates worsening brain injury, likely herniation, needing immediate reporting. GCS 12 (A), equal pupils (B), or normal RR (C) are less urgent. D is correct. Rationale: Pupil fixation signals severe ICP elevation, a neurosurgical emergency, per brain trauma standards, requiring rapid intervention.
Question 3 of 5
Which of the following strategies can most help you as a nurse to enhance your ethical practice and client advocacy?
Correct Answer: B
Rationale: Enhancing ethical practice and client advocacy hinges on examining and clarifying personal values, as this self-awareness shapes how nurses interpret and apply ethical principles. Understanding one's own biases, beliefs, and moral framework allows for consistent, fair decision-making that prioritizes client needs over personal judgment. Reading about religions or discussing peer beliefs broadens perspective but doesn't directly refine personal ethical grounding. A book on ethical decisions offers guidance, but without self-reflection, its lessons remain theoretical. By introspecting, nurses can align their actions with professional standards, like beneficence and justice, ensuring advocacy reflects client interests rather than external influences. This process strengthens the ability to navigate complex scenarios, such as refusing a family's demands, with clarity and confidence.
Question 4 of 5
When instructing the family of a client who has diabetes with neuropathy causing impaired skin sensitivity, you would stress the importance of which one of the following things in regard to showering or bathing?
Correct Answer: D
Rationale: For a diabetic client with neuropathy, ensuring water isn't hot is crucial due to reduced sensation, preventing burns. Neuropathy dulls temperature perception, so a method like testing with an elbow safeguards skin integrity. Cleaning with peroxide is unrelated, and drying or lotion help but don't address the primary risk. This instruction empowers the family to prevent injury, a key nursing focus in managing sensory deficits.
Question 5 of 5
When the nurse's assigned client is being discharged to another institution or a home setting where a visit by the community health nurse is required, which of the following information is most likely to be included in the discharge and referral summaries?
Correct Answer: A
Rationale: Discharge summaries most likely include unresolved problems and continuing needs like wound care to ensure seamless care transition. Financial assessments, physician orders, or new plans might supplement but aren't primary. This focus aids community nurses in prioritizing interventions, a key nursing handoff element.