Nurse Angela knew that Stephen Lee Mu Chin, has just undergone an operation with an incision near the diaphragm. She knew that this will contribute to some complications later on. She then should develop what type of Nursing diagnosis?

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ATI LPN Test Bank

LPN Fundamentals Final Exam Questions

Question 1 of 9

Nurse Angela knew that Stephen Lee Mu Chin, has just undergone an operation with an incision near the diaphragm. She knew that this will contribute to some complications later on. She then should develop what type of Nursing diagnosis?

Correct Answer: D

Rationale: Post-op near-diaphragm incision risks complications (e.g., respiratory), warranting a risk diagnosis (D), per NANDA. Actual (A) needs current signs, probable (B) and possible (C) don't apply pre-symptom. D anticipates, making it correct.

Question 2 of 9

The nurse is caring for a client with AIDS who has a new order for captopril (Capoten). The nurse should monitor the client for:

Correct Answer: B

Rationale: Hypotension is a key side effect of captopril (ACE inhibitor) in AIDS clients, due to vasodilation hyperkalemia is possible but less immediate, hypoglycemia isn't linked, and urine output may not increase. Nurses check blood pressure frequently, ensuring safety, especially with AIDS-related comorbidities affecting fluid balance.

Question 3 of 9

The nurse is explaining the purpose of the Healthy People 2030 initiative to a client. Which goal(s) will the nurse point out as included?

Correct Answer: A

Rationale: Healthy People 2030 sets national goals to improve health equity and outcomes, including increasing health insurance access to reduce disparities, a measurable target tied to better care utilization. Decreasing new cancer diagnoses aims to lower chronic disease rates through prevention, like screening or lifestyle changes. Boosting medical degrees among underrepresented groups enhances workforce diversity, addressing cultural competence needs. Improving hearing and visual health via education prevents disability progression. Building disability-specific facilities isn't a goal; rather, it's about enhancing existing access. These objectives insurance, cancer reduction, diversity tackle root causes of inequity, aligning with nursing's advocacy for accessible, preventive care, impacting clients broadly by 2030.

Question 4 of 9

Which of the following statement is TRUE about General Adaptation Syndrome?

Correct Answer: B

Rationale: General Adaptation Syndrome (GAS) has three stages (B) alarm, resistance, exhaustion, per Selye. Not one-time (A), involves hormones (C, e.g., cortisol), not all (D). B truly outlines GAS's phased response, making it correct.

Question 5 of 9

According to Bloom, there are 3 domains in learning. Which of these domains is responsible for the ability of Donya Delilah to inject insulin?

Correct Answer: C

Rationale: Bloom's psychomotor domain (C) governs Donya Delilah's insulin injection skill physical action. Cognitive (A) is knowledge, affective (B) attitudes, motivative (D) isn't a domain. C fits motor learning, making it correct.

Question 6 of 9

The nurse admitted that she made a mistake in giving the medication and reported it to the physician. This is an example of?

Correct Answer: A

Rationale: Admitting a med error and reporting is accountability (A) taking responsibility, per ethics. Malpractice (B) and negligence (C) define the error, fidelity (D) promises. A reflects ownership, making it correct.

Question 7 of 9

A nurse is providing oxygen therapy to a client using a face mask. What is an important nursing consideration for this client?

Correct Answer: D

Rationale: Assessing for skin breakdown (D) is vital with face masks, as prolonged pressure on the nose and cheeks can cause ulcers. Removing during meals (A) disrupts therapy. Mouth-only coverage (B) reduces efficacy. Q4h SpO2 checks (C) are too infrequent. Skin checks prevent complications, per nursing care, ensuring mask safety.

Question 8 of 9

Caring is the essence and central unifying, a dominant domain that distinguishes nursing from other health disciplines. Care is an essential human need.

Correct Answer: C

Rationale: Madeleine Leininger's theory positions caring as nursing's essence, a unifying force distinguishing it from medicine or other fields. Developed in the 1970s, her Culture Care Theory asserts that care is a universal human need, but its expression varies culturally. She describes it as central (core to nursing), unifying (binding the profession), and dominant (setting it apart), unlike Benner's skill focus, Watson's spiritual caring, or Swanson's process-oriented approach. For example, a nurse adjusting pain management for a patient's cultural beliefs reflects Leininger's view. Her mnemonic ‘CUD I LIE IN GER' (Central, Unifying, Dominant) aids recall, emphasizing caring's primacy. This perspective shaped transcultural nursing, urging practitioners to integrate cultural competence into care, a critical distinction in today's diverse healthcare landscape.

Question 9 of 9

Which of the following statement is NOT true about health assessment?

Correct Answer: C

Rationale: Health assessment gathers data (A), includes exam (B), part of nursing (D) 'only by doctors' (C) isn't true, nurses perform too, per scope. C's exclusivity fails, making it untrue.

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