ATI LPN
Nursing Fundamentals Exam for LPN Questions
Question 1 of 5
The client is admitted with a gastrointestinal bleed. The health care provider ordered a colonoscopy. Which level of care encompasses this procedure?
Correct Answer: B
Rationale: A colonoscopy for a gastrointestinal bleed falls under secondary care, where primary providers refer clients for specialized testing or consultation to diagnose and treat detected issues here, pinpointing bleeding's source. Primary care is initial contact, like a GP visit, not invasive diagnostics. Tertiary care involves complex hospital-based interventions, like surgery post-diagnosis, beyond this scope. Quaternary care, rare and experimental, doesn't apply. Secondary care's focus early detection via procedures aligns with nursing's role in facilitating timely diagnosis, as with this client's urgent bleed, ensuring swift management. This level bridges general health maintenance and advanced treatment, critical for acute conditions needing specialist input without full hospitalization.
Question 2 of 5
The nurse is told that an assigned client will have a fenestrated tracheostomy tube inserted. The nurse should provide the client with which information about this type of tube?
Correct Answer: A
Rationale: A fenestrated tracheostomy tube (A) allows speech by permitting air through the vocal cords. Rationale: The fenestration design supports phonation, aiding communication, unlike non-fenestrated tubes.
Question 3 of 5
The nurse is performing tracheal suctioning on an assigned client. The nurse uses which parameter as the accurate indicator of the effectiveness of suctioning?
Correct Answer: A
Rationale: Clear breath sounds (A) accurately indicate suctioning effectiveness, showing secretion removal. Infrequent suctioning (B) isn't a direct measure. Minor saturation (C) or rate (D) changes are less specific. A is correct. Rationale: Clear lungs confirm airway patency, the primary goal of suctioning, per respiratory care standards.
Question 4 of 5
A client is diagnosed with a brain attack (cerebrovascular accident, CVA). The baseline vital signs are a pulse rate of 78 bpm and a blood pressure (BP) of 120/80 mm Hg. The nurse continues to monitor the vital signs and recognizes that which changes in vital signs indicate increased intracranial pressure (ICP)?
Correct Answer: A
Rationale: Increased ICP post-CVA shows Cushing's triad: bradycardia, hypertension, and widened pulse pressure. Pulse 50, BP 140/60 (A) fits this. B has high diastolic. C is near normal. D suggests shock. A is correct. Rationale: Bradycardia and widened pulse pressure reflect ICP's brainstem effect, a critical sign per stroke monitoring.
Question 5 of 5
All organisms in an ecosystem are involved in the carbon cycle. Outline the roles of living organisms in the carbon cycle.
Correct Answer: A
Rationale: Plants fixing CO2 in photosynthesis (A) is a primary carbon cycle role, initiating the process. Animals (B), decomposers (C), and humans (D) follow. A is correct. Rationale: Photosynthesis converts CO2 into organic compounds, the cycle's foundation, per ecology, driving carbon flow through ecosystems.