ATI LPN
LPN Fundamentals of Nursing ATI Questions
Question 1 of 9
The appropriate position of a patients neck to facilitate introduction of a nasogastric tube into the nostril is:
Correct Answer: C
Rationale: The neck should be extended tilted slightly back during nasogastric (NG) tube insertion to align the nasal passage, pharynx, and esophagus, easing the tube's path to the stomach. Hyperextension (extreme backward tilt) over-aligns, risking airway entry or discomfort. Flexion (chin to chest) closes the pharynx, obstructing passage and increasing gagging or esophageal misplacement risk. Rotation to the left misaligns anatomy, complicating insertion without aiding trajectory. Extension, often with a pillow removed, straightens the route, reducing resistance and trauma (e.g., nasal irritation), making it the recommended position in nursing practice for safe, efficient NG tube placement.
Question 2 of 9
The first manifestation of inflammation is
Correct Answer: A
Rationale: The first manifestation of inflammation is redness (A), caused by vasodilation increasing blood flow to the injury site immediately after transient vasoconstriction. Swelling (B) follows as capillary permeability rises, leaking fluid into tissues. Pain (C) emerges from pressure on nerves and chemical mediators, a later effect. Increased heat (D) accompanies redness but isn't the initial sign; it's a byproduct of enhanced circulation. Redness appears earliest in the vascular phase, observable before edema or pain develops, aligning with inflammation's sequence and making A the correct answer.
Question 3 of 9
The nurse is providing post procedure care to a client who had a cardiac catheterization. The client begins to manifest signs and symptoms associated with embolization. Which action should the nurse take?
Correct Answer: A
Rationale: Embolization post-catheterization (e.g., limb pain, pallor) requires immediate provider notification (A) for intervention like thrombolysis. Compress (B), fluids (C), or monitoring (D) are secondary. A is correct. Rationale: Embolism is a vascular emergency; prompt reporting ensures rapid treatment, per cardiac care standards, preventing tissue loss.
Question 4 of 9
The nurse is caring for a client with a Sengstaken-Blakemore tube. Which finding should be reported to the physician immediately?
Correct Answer: B
Rationale: A hematocrit of 30% post-Sengstaken-Blakemore tube insertion signals significant bleeding from esophageal varices, requiring immediate physician report normal is 38-50%, and this drop suggests hemorrhage despite tamponade. Nausea, thirst, or stable pressures are less urgent. Nurses flag this drop, prompting transfusion or escalation, critical to stabilize a client in acute liver failure.
Question 5 of 9
Which of the following statement is TRUE about religion?
Correct Answer: C
Rationale: Religion is an organized system of beliefs (C), per definition structured faith (e.g., Christianity). Personal search (A) is spirituality, not same (B), not all (D). C truly distinguishes religion's communal, ritualistic nature, making it correct.
Question 6 of 9
The parathyroid hormone is responsible for
Correct Answer: D
Rationale: PTH regulates calcium e.g., bone release unlike metabolism (thyroid), potassium/sodium (adrenals). Nurses monitor e.g., levels for balance, per endocrine.
Question 7 of 9
A nurse working in a long-established hospital learned a specific approach to administering intravenous injections from the previous generation of nurses at the hospital. This is an example of which type of knowledge?
Correct Answer: A
Rationale: This scenario illustrates traditional knowledge, where skills or practices are handed down informally from one generation of nurses to the next within a specific setting, like a hospital. The nurse learned IV administration techniques from predecessors, reflecting a legacy of experiential learning rather than formal research or expert directive. Authoritative knowledge would involve guidance from a recognized expert, such as a clinical instructor, based on established credentials. Scientific knowledge derives from rigorous studies, like clinical trials validating IV methods. Philosophy pertains to abstract beliefs, not practical skills. Traditional knowledge often shapes workplace culture and practice, especially in longstanding institutions, but may not always align with current evidence. Recognizing this helps nurses integrate historical methods with modern standards, ensuring safe, effective care while honoring institutional heritage.
Question 8 of 9
The appropriate position of a patients neck to facilitate introduction of a nasogastric tube into the nostril is:
Correct Answer: C
Rationale: The neck should be extended tilted slightly back during nasogastric (NG) tube insertion to align the nasal passage, pharynx, and esophagus, easing the tube's path to the stomach. Hyperextension (extreme backward tilt) over-aligns, risking airway entry or discomfort. Flexion (chin to chest) closes the pharynx, obstructing passage and increasing gagging or esophageal misplacement risk. Rotation to the left misaligns anatomy, complicating insertion without aiding trajectory. Extension, often with a pillow removed, straightens the route, reducing resistance and trauma (e.g., nasal irritation), making it the recommended position in nursing practice for safe, efficient NG tube placement.
Question 9 of 9
It is best described as a systematic, rational method of planning and providing nursing care for individuals, families, group and community
Correct Answer: B
Rationale: The nursing process is a systematic, rational approach encompassing all care phases.