ATI LPN
LPN Fundamentals Exam Questions
Question 1 of 9
The American Nurses association formulated an innovation of the Nursing process. Today, how many distinct steps are there in the nursing process?
Correct Answer: B
Rationale: The ANA's nursing process is ADPIE (B) assessment, diagnosis, planning, implementation, evaluation 5 steps, per current standards. APIE (A) omits diagnosis, ADOPIE (C) and ADOPIER (D) aren't recognized. B reflects practice, making it correct.
Question 2 of 9
The nurse is assisting with the delivery of a client with abruptio placenta. Following delivery, the nurse should give priority to:
Correct Answer: A
Rationale: Checking uterine firmness post-abruptio placenta delivery prevents postpartum hemorrhage, a priority Apgar, IV, and oxygen follow maternal stabilization. Nurses massage the fundus, monitoring bleeding, critical for maternal survival in this obstetric emergency.
Question 3 of 9
Using the principles of standard precautions, the nurse would wear gloves in what nursing interventions?
Correct Answer: D
Rationale: Standard precautions are infection control practices used to prevent the transmission of pathogens in healthcare settings. They apply to all patient care situations where there is potential contact with blood, body fluids, secretions, excretions (except sweat), non-intact skin, or mucous membranes. Providing oral hygiene involves direct contact with saliva, which is considered a body fluid that may contain pathogens, such as bacteria or viruses, especially in patients with poor oral health or infections. Wearing gloves during this intervention protects the nurse from potential exposure to infectious agents and prevents cross-contamination to other patients or surfaces. In contrast, providing a back massage, feeding a client, or providing hair care typically does not involve contact with body fluids or high-risk areas unless specified otherwise (e.g., open wounds or soiled conditions). Therefore, gloves are not routinely required for these tasks under standard precautions unless additional risk factors are present. The correct answer is D because oral hygiene uniquely involves potential exposure to mucous membranes and saliva, necessitating glove use.
Question 4 of 9
Which of the following statement is NOT true about spirituality?
Correct Answer: C
Rationale: Spirituality can be non-religious (A), affects decisions (B), provides comfort (D) 'requires belief in God' (C) isn't true, as it can be secular (e.g., nature-based), per theory. C's restriction misaligns with spirituality's breadth, making it the untrue statement.
Question 5 of 9
Mr. Gary said that the pain he is experiencing is radiating to the upper right quadrant of his abdomen. This type of pain is called?
Correct Answer: C
Rationale: Pain radiating to Mr. Gary's upper right quadrant is referred pain (C), where sensation is felt away from its source, per pain types (e.g., gallbladder to shoulder). Acute (A) and chronic (B) describe duration, not location. Phantom (D) is post-amputation. Referred pain aligns with anatomical nerve pathways, common in visceral issues, making C correct for this pattern.
Question 6 of 9
Which of the following is a contraindication in taking RECTAL temperature?
Correct Answer: B
Rationale: Neutropenia contraindicates rectal temp e.g., infection risk from low immunity unlike unconsciousness (manageable), NPO (irrelevant), or young children (common practice). Nurses avoid it in immunocompromised patients, opting for axillary, per infection control standards, prioritizing safety.
Question 7 of 9
In cleaning the thermometer after use, The direction of the cleaning to follow Medical Asepsis is :
Correct Answer: B
Rationale: Cleaning stem to bulb least to most contaminated e.g., away from anus tip follows asepsis. Bulb-to-stem spreads germs; others illogical. Nurses wipe this e.g., alcohol per infection control, preventing cross-contamination.
Question 8 of 9
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 9 of 9
A nurse is discussing dietary issues with a client in the clinic. The client states, 'My grandparent always told me that I needed to include milk in my diet so that my muscles would grow.' The information that the client is expressing is known as what?
Correct Answer: B
Rationale: The client's statement reflects traditional knowledge, passed down through generations within a family or culture, often based on lived experience rather than formal study. Here, the grandparent's advice about milk for muscle growth stems from historical dietary beliefs, not necessarily verified by research. Authoritative knowledge comes from recognized experts, like healthcare providers, grounded in professional experience or evidence. Scientific knowledge arises from systematic research, such as studies proving calcium's role in muscle function. Philosophy explores broader life perceptions, not specific health advice. Traditional knowledge, while valuable for cultural continuity, may lack empirical backing, yet it shapes health beliefs significantly. In nursing, understanding such sources helps tailor education, bridging generational wisdom with evidence-based practice to address client needs holistically and respectfully.