ATI LPN
LPN Fundamentals of Nursing ATI Questions
Question 1 of 5
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 2 of 5
Later that day, he bought his son ice cream and food. What defense mechanism is Legrande unconsciously doing?
Correct Answer: A
Rationale: Legrande's buying ice cream and food is restitution (A), compensating for shouting at his son. Conversion (B) turns stress into physical symptoms. Redoing (C) isn't a term; undoing reverses. Reaction formation (D) acts opposite to feelings. Restitution, per psychology, repairs guilt, matching his actions, making A correct.
Question 3 of 5
The physician ordered : Mannerix a.c, what does a.c means?
Correct Answer: B
Rationale: a.c.' means before meals (B), from Latin 'ante cibum,' per medical abbreviations. As desired (A) is 'ad lib,' after meals (C) 'p.c.,' bedtime (D) 'h.s.' B matches the order's intent, making it correct.
Question 4 of 5
They are the first one to suggest a 4 step nursing process which are : APIE , or assessment, planning, implementation and evaluation. 1. Yura 2. Walsh 3. Roy 4. Knowles
Correct Answer: A
Rationale: Yura and Walsh (A, 1,2) proposed the 4-step APIE process, per nursing history. Roy (B, 3) focused adaptation, Knowles (C, 4) adult learning. A matches early process development, making it correct.
Question 5 of 5
The nurse is preparing to take vital signs in an alert client admitted to the hospital with dehydration secondary to vomiting and diarrhea. What is the best method used to assess the client's temperature?
Correct Answer: B
Rationale: When assessing a client's temperature, the method chosen must be accurate, safe, and appropriate for the client's condition. In this scenario, the client is alert but has dehydration secondary to vomiting and diarrhea, which suggests recent or ongoing gastrointestinal disturbances. The oral route (A) is generally accurate but is contraindicated in this case because vomiting increases the risk of aspiration, and residual nausea or oral irritation could affect the reading or patient comfort. The axillary route (B) is a safer alternative, as it is non-invasive and avoids the gastrointestinal system, though it may be slightly less accurate (typically 0.5°C lower than oral). It is suitable for an alert client who can cooperate by keeping the thermometer in place. The radial option (C) is incorrect because it refers to pulse assessment, not temperature. Heat-sensitive tape (D) is less precise and not a standard method for clinical vital sign monitoring in a hospital setting. Given the client's condition, axillary measurement balances safety and reliability, making B the best choice.