ATI LPN
LPN Fundamentals Exam Questions
Question 1 of 5
Mr. Gary's HMO limited his provider choices. This is an example of?
Correct Answer: A
Rationale: HMO limiting choices is a managed care organization (A) cost/quality control, per definition. Reimbursement (B) payment, literacy (C) understanding, transition (D) moves not choice-specific. A fits Mr. Gary's care structure, making it correct.
Question 2 of 5
Which of the following is an appropriate nursing action when caring a patient who has a radium implant for cancer of cervix?
Correct Answer: C
Rationale: Radium implants emit radiation, requiring nurses to wear lead aprons to shield against exposure during care, minimizing health risks. Visitor restriction limits exposure but isn't the primary nursing action. Urine doesn't need lead storage unless radioactive contamination occurs, and IM injection sites depend on practicality, not radiation. Safety protocols prioritize protective gear, ensuring staff and patient well-being during brachytherapy.
Question 3 of 5
Percentage of bilirubin production from old RBCs is:
Correct Answer: B
Rationale: About 80% of bilirubin comes from hemoglobin breakdown in old red blood cells, processed by the spleen and liver. The rest (20%) is from other heme sources (e.g., myoglobin). Nurses monitor bilirubin in jaundice, understanding its RBC origin to assess liver function or hemolysis, critical for diagnosing underlying conditions.
Question 4 of 5
Which data would be of greatest concern to the nurse when completing the nursing assessment of a 68-year-old woman hospitalized due to Pneumonia?
Correct Answer: C
Rationale: Capillary refill greater than 3 seconds and buccal cyanosis signal severe oxygenation issues, critical in a pneumonia patient. Delayed refill indicates poor peripheral perfusion, while buccal cyanosis (blue-tinged oral mucosa) suggests central hypoxemia both life-threatening if untreated. Pneumonia impairs gas exchange, and these findings suggest worsening respiratory failure, demanding urgent intervention like oxygen therapy or escalation. Orientation to time, place, and date is reassuring, showing intact cognition, not immediate danger. Clear breath sounds are positive, indicating no consolidation or fluid, though not definitive in pneumonia's patchy presentation. Hemoglobin of 13 g/dl is normal, ensuring adequate oxygen-carrying capacity. The perfusion and oxygenation deficits outweigh other data, prioritizing immediate action to stabilize this vulnerable 68-year-old, aligning with nursing's focus on acute physiological threats.
Question 5 of 5
The most important skills needed to obtain accurate information from your client is:
Correct Answer: C
Rationale: Good communication and critical thinking are the most crucial skills for obtaining accurate client information. Communication listening, questioning, clarifying builds trust, encouraging honest responses (e.g., detailed pain history). Critical thinking analyzes these responses, spotting inconsistencies or probing deeper (e.g., linking fatigue to sleep issues), ensuring data reliability. Teaching and assessment are roles, not skills for gathering data; teaching informs, doesn't collect. Cognitive skills overlap with critical thinking, but pairing with teaching misses communication's primacy. Psychomotor skills (e.g., taking vitals) and courage are useful but secondary manual tasks don't extract perceptions, and bravery doesn't ensure accuracy. Communication and critical thinking together elicit and interpret client input effectively, foundational for a precise, comprehensive assessment in nursing.