ATI LPN
Quizlet LPN Fundamentals Questions
Question 1 of 9
The nurse is caring for a client who was just admitted to the hospital with the diagnosis of head trauma. Which clinical indicators should the nurse consider as evidence of increasing intracranial pressure? Select all that apply.
Correct Answer: D
Rationale: Increased ICP from head trauma manifests as decreased level of consciousness (D), a key sign of brain compression. Vomiting (A) and irritability (B) are early indicators. Hypotension (C) is late, not initial. D is correct for CSV. Rationale: LOC decline reflects worsening ICP, a critical progression requiring immediate action like imaging or decompression, per neurotrauma standards, distinguishing it from earlier symptoms.
Question 2 of 9
One of the expectations is for nurses to join professional association primarily because of
Correct Answer: A
Rationale: Professional associations like the PNA promote growth e.g., training, certifications enhancing skills and standards. Fundraising, networking, or job aid are secondary. This focus, rooted in nursing's professionalization, ensures competence and leadership, vital for career and patient care quality.
Question 3 of 9
The nurse placed her hands near Mr. Gary to reduce his stress. This is an example of?
Correct Answer: A
Rationale: Hands near to reduce stress is therapeutic touch (A) energy-based relief, per definition. Education (B) teaches, competence (C) respects, QI (D) enhances not touch-specific. A fits stress reduction, making it correct.
Question 4 of 9
The nurse is instructing a woman in a low-fat, high-fiber diet. Which of the following food choices, if selected by the client, indicate an understanding of a low-fat, high-fiber diet?
Correct Answer: B
Rationale: This option is low-fat (vegetable stock) and high-fiber (legumes, oat bread).
Question 5 of 9
Which of the following is TRUE about respiration?
Correct Answer: B
Rationale: Respiratory rate is lowest during sleep (B) due to decreased metabolic demand, per normal physiology. Higher temperature (A) increases rate to meet oxygen needs, not universally true in all contexts. Elderly may have altered breathing (C), but rate doesn't consistently decrease elasticity loss affects depth more. 'All' (D) fails as A and C aren't absolute. B's sleep-related drop is a consistent truth, making it correct based on circadian respiratory patterns.
Question 6 of 9
When counting the apical pulse during the physical assessment, it is the most accepted practice for the nurse to count the apical pulse in which of the following ways?
Correct Answer: D
Rationale: Counting the apical pulse for one full minute is most accepted, ensuring accuracy, especially if irregular. Shorter counts or dual pulse checks risk error. Nurses rely on this for precise cardiac assessment.
Question 7 of 9
When writing goals/outcomes for clients, the nurse should do which of the following?
Correct Answer: C
Rationale: Involving the client in setting goals ensures outcomes reflect their values and needs, enhancing motivation and adherence. For example, a client with diabetes might prioritize dietary control over exercise, tailoring care to their lifestyle. Combining diagnoses or limiting them risks oversimplification, while team-driven goals may ignore client preferences. Client collaboration fosters autonomy and relevance like aiming for stable glucose levels making this the most effective approach for meaningful, achievable outcomes in nursing care planning.
Question 8 of 9
Using the principles of standard precautions, the nurse would wear gloves in what nursing interventions?
Correct Answer: D
Rationale: Under standard precautions, gloves are worn when there's potential contact with bodily fluids, such as saliva during oral hygiene. Massage, feeding, and hair care typically don't involve this risk unless contamination is evident.
Question 9 of 9
Which of the following statement is NOT true about planning in nursing process?
Correct Answer: C
Rationale: Planning sets goals (A), involves interventions (B), prioritizes needs (D) 'done only by doctors' (C) isn't true, nurses plan, per process. C's exclusivity fails, making it untrue.