ATI LPN
LPN Fundamentals Final Exam Questions
Question 1 of 5
Rheumatic heart disease is caused by:
Correct Answer: D
Rationale: Rheumatic heart disease (RHD) follows rheumatic fever, triggered by an immune response to infection. Meningococci (choice A) cause meningitis, not RHD. Choice B (Group A B hemolytic staphylococci) is a misnomer; staphylococci don't cause RHD. Pneumococci (choice C) lead to pneumonia, not rheumatic fever. Group A beta-hemolytic streptococci (choice D, Streptococcus pyogenes) cause pharyngitis, initiating an autoimmune reaction damaging heart valves in RHD. D is correct, reflecting the established etiology. Nurses administer penicillin, monitor cardiac function, and educate on prophylaxis, preventing progression.
Question 2 of 5
Imelda, was slashed and hacked by an unknown suspects. She suffered massive tissue loss and laceration on her arms and elbow in an attempt to evade the criminal. As a nurse, you know that the type of healing that will most likely occur to Miss Imelda is
Correct Answer: B
Rationale: Imelda's massive tissue loss and lacerations suggest second intention healing (B). This occurs in large, open wounds where edges can't be sutured, healing via granulation tissue formation from the base up, often with significant scarring. First intention (A) requires clean, approximated edges, not feasible here. Third intention (C) involves delayed closure of infected wounds, but the scenario doesn't specify infection or surgical delay. Fourth intention (D) isn't recognized. Second intention fits extensive trauma with tissue loss, as the body fills the defect naturally, making B the correct answer.
Question 3 of 5
Marissa Salva, Uses Benson's relaxation. How is it done?
Correct Answer: B
Rationale: Benson's relaxation (B) involves focusing on breathing, relaxing without tensing, and repeating a word/sound post-exhalation to reduce stress. Tensing muscles (A) is progressive relaxation (Jacobson). Positive statements (C) fit affirmations, not Benson. Exercise with meditation (D) is broader. Benson's method, per his research, uses breath focus and repetition for physiologic calm, making B correct.
Question 4 of 5
Therapeutic nurse client relationship is describes as follows 1. Based on friendship and mutual interest 2. It is a professional relationship 3. It is focused on helping the patient solve problems and achieve health-related goals 4. Maintained only as long as the patient requires professional help
Correct Answer: C
Rationale: A therapeutic relationship is professional (2), problem-focused (3), and time-limited (4), per Peplau thus C (2,3,4). Friendship (1) blurs boundaries, making A, B, and D incorrect. C aligns with nursing's therapeutic intent.
Question 5 of 5
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.