ATI LPN
LPN Fundamentals of Nursing ATI Questions
Question 1 of 5
The nurse explains to the client that the cast removal will be completed by cutting it open with a cast saw. The client reports pruritus following removal of the cast, and the nurse __.
Correct Answer: A
Rationale: Post-cast removal, pruritus is common due to dry skin; applying emollient lotion (A) soothes it. Rationale: Lotion hydrates skin, reducing irritation, a standard nursing intervention post-immobilization.
Question 2 of 5
Initially after a stroke, a client's pupils are equal and reactive to light. Later, the nurse assesses that the right pupil is reacting more slowly than the left and that the systolic blood pressure is beginning to rise. What complication should the nurse consider that the client is developing?
Correct Answer: D
Rationale: Slow pupil reaction and rising systolic BP post-stroke suggest increasing ICP (D), part of Cushing's triad. Spinal (A) or hypovolemic shock (B) don't fit. Herniation (C) is a result, not the process. D is correct. Rationale: ICP rise from stroke edema causes neurological and hemodynamic changes, requiring urgent management, per stroke care protocols.
Question 3 of 5
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 5
The nurse is assessing a client with a traumatic brain injury. Which finding indicates a worsening condition that requires immediate reporting to the healthcare provider?
Correct Answer: D
Rationale: A fixed, dilated pupil (D) indicates worsening brain injury, likely herniation, needing immediate reporting. GCS 12 (A), equal pupils (B), or normal RR (C) are less urgent. D is correct. Rationale: Pupil fixation signals severe ICP elevation, a neurosurgical emergency, per brain trauma standards, requiring rapid intervention.
Question 5 of 5
Which of the following strategies can most help you as a nurse to enhance your ethical practice and client advocacy?
Correct Answer: B
Rationale: Enhancing ethical practice and client advocacy hinges on examining and clarifying personal values, as this self-awareness shapes how nurses interpret and apply ethical principles. Understanding one's own biases, beliefs, and moral framework allows for consistent, fair decision-making that prioritizes client needs over personal judgment. Reading about religions or discussing peer beliefs broadens perspective but doesn't directly refine personal ethical grounding. A book on ethical decisions offers guidance, but without self-reflection, its lessons remain theoretical. By introspecting, nurses can align their actions with professional standards, like beneficence and justice, ensuring advocacy reflects client interests rather than external influences. This process strengthens the ability to navigate complex scenarios, such as refusing a family's demands, with clarity and confidence.