ATI LPN
Nursing Fundamental Physical Assessment LPN Questions
Question 1 of 5
The low-pressure alarm sounds on the ventilator. The nurse checks the client and then attempts to determine the cause of the alarm but is unsuccessful. Which initial action should the nurse take?
Correct Answer: B
Rationale: A low-pressure ventilator alarm suggests disconnection or leak; manual ventilation (B) ensures oxygenation. Rationale: Manual bagging maintains airway support while troubleshooting, per respiratory care standards.
Question 2 of 5
A client sustains a crushing injury of the spinal cord above the level of origin of the phrenic nerve. As a result of this injury, the nurse expects what client response?
Correct Answer: D
Rationale: Injury above the phrenic nerve (C3-C5) causes respiratory paralysis (D) by disrupting diaphragm innervation. Fibrillation (A) or vagus issues (B) aren't direct. Sensation/paralysis (C) is incomplete. D is correct. Rationale: Phrenic nerve loss halts breathing, a primary concern in high spinal injuries, per trauma care.
Question 3 of 5
A client arrives in the emergency department with multiple crushing wounds of the chest, abdomen, and legs. Which are the priority nursing assessments?
Correct Answer: C
Rationale: In multiple trauma, quality of respirations and pulses (C) assess airway and circulation, per ABCs. LOC/pupils (A), pain/BP (B), and wounds (D) follow. C is correct. Rationale: Breathing and perfusion are immediate life threats in crush injuries, guiding resuscitation, per trauma triage standards.
Question 4 of 5
The nurse is caring for a client with a spinal cord injury who is receiving intravenous fluids. Which finding indicates that the client is experiencing fluid overload?
Correct Answer: A
Rationale: Crackles (A) indicate fluid overload in SCI from excess IV fluids entering alveoli. Normal BP (B), pulse (C), or output (D) don't suggest this. A is correct. Rationale: Pulmonary edema from overload requires fluid adjustment, per critical care monitoring, critical in immobile SCI patients.
Question 5 of 5
Nurses, as they progress in their education, will most likely do which of the following things?
Correct Answer: A
Rationale: As nurses advance in education, they are likely to develop a personal theory of nursing, integrating knowledge, experience, and values into a unique care philosophy. This evolution reflects deeper understanding of theoretical frameworks like Orem's self-care model and their application to practice, fostering professional identity. Losing critical thinking or interest in bedside nursing contradicts educational goals, which aim to sharpen skills and passion for client care. Enjoying paperwork might occur but isn't a primary outcome. Developing a personal theory empowers nurses to adapt care creatively, such as tailoring interventions to a client's cultural needs, enhancing both competence and advocacy in complex clinical settings.