ATI LPN
LPN Fundamentals Final Exam Questions
Question 1 of 9
The nurse is caring for a client following the reimplantation of the thumb and index finger. Which finding should be reported to the physician immediately?
Correct Answer: B
Rationale: Coolness and discoloration of reimplanted digits signal vascular compromise, needing urgent reporting mild fever, pain, and stiffness are expected. Nurses monitor perfusion, acting fast, preserving viability in this surgical emergency.
Question 2 of 9
Which of the following statement is TRUE about General Adaptation Syndrome?
Correct Answer: B
Rationale: General Adaptation Syndrome (GAS) has three stages (B) alarm, resistance, exhaustion, per Selye. Not one-time (A), involves hormones (C, e.g., cortisol), not all (D). B truly outlines GAS's phased response, making it correct.
Question 3 of 9
What is the priority nursing intervention for a patient during the immediate post-operative period?
Correct Answer: B
Rationale: Immediately post-op, airway patency is critical due to anesthesia's respiratory depression or obstruction risks (e.g., secretions). Hypoxia can kill in minutes, outranking hemorrhage (next priority), intake/output, or vitals monitoring. Nurses ensure breathing via positioning or suctioning, securing oxygenation foundational to all recovery processes, preventing rapid deterioration in this vulnerable phase.
Question 4 of 9
In Hildegard Peplau's Interpersonal Relations Model, the focus is on which of the following?
Correct Answer: A
Rationale: Hildegard Peplau's Interpersonal Relations Model centers on the individual, emphasizing the nurse-client relationship as a therapeutic tool for personal growth and problem-solving. Unlike models targeting communities or families, Peplau's framework views nursing as an interpersonal process where the nurse supports the client's emotional and health needs through phases like orientation and resolution. For instance, helping a client cope with anxiety post-diagnosis focuses on their unique experience, not broader societal dynamics. This individual focus distinguishes her theory, fostering tailored interventions that enhance client autonomy and well-being in clinical practice.
Question 5 of 9
The nurse is teaching a group of parents about gross motor development of the toddler. Which behavior is an example of the normal gross motor skill of a toddler?
Correct Answer: A
Rationale: Toddlers (1-3 years) typically develop gross motor skills like pulling a toy behind them, reflecting coordination and strength in walking, a milestone by 18-24 months. Copying lines or building tall towers involves fine motor skills, while broad-jumping emerges later, around 3-4 years. Nurses educate parents on these norms to track development, reassuring them that pulling toys aligns with expected physical progress, distinguishing it from more advanced or precise tasks.
Question 6 of 9
The nurse should observe for side effects associated with the use of bronchodilators. A common side effect of bronchodilators is:
Correct Answer: B
Rationale: Nausea is a common side effect of bronchodilators like albuterol, stemming from systemic absorption stimulating the gastrointestinal tract or central nervous system, a frequent complaint in respiratory therapy. Tinnitus relates more to ototoxic drugs, ataxia to neurological issues, and hypotension isn't typical tachycardia is more likely. Nurses monitor for nausea to adjust administration (e.g., with food) or report persistent issues, ensuring client comfort while maintaining airway dilation. This vigilance balances therapeutic benefits against manageable side effects, critical for clients with chronic respiratory conditions.
Question 7 of 9
Which of the following nursing interventions promotes patient safety?
Correct Answer: D
Rationale: All interventions enhance safety by addressing mobility, communication, and identification.
Question 8 of 9
A nurse is providing oxygen therapy to a client using a face mask. What is an important nursing consideration for this client?
Correct Answer: D
Rationale: Assessing for skin breakdown (D) is vital with face masks, as prolonged pressure on the nose and cheeks can cause ulcers. Removing during meals (A) disrupts therapy. Mouth-only coverage (B) reduces efficacy. Q4h SpO2 checks (C) are too infrequent. Skin checks prevent complications, per nursing care, ensuring mask safety.
Question 9 of 9
To implement nursing care interventions the nurse must be competent in three key areas which are:
Correct Answer: D
Rationale: Competence in nursing interventions requires knowledge (understanding theory and evidence), function (applying that knowledge practically), and specific skills (technical abilities like IV insertion). These three areas ensure a nurse can deliver safe, effective care tailored to patient needs. Leadership anatomy and skills is nonsensical leadership matters, but anatomy isn't a relevant term here, and it's not a trio with skills alone. Experience, advanced education, and skills include valuable elements, but experience isn't a core competency area; it enhances the trio, while advanced education overlaps with knowledge. Skills, leadership, and function mix unrelated concepts leadership is broader than intervention execution. Knowledge, function, and specific skills form a cohesive framework: knowing what to do, how to do it, and performing it proficiently, aligning with nursing standards for competent practice across diverse scenarios.