ATI LPN
Nursing Fundamentals Exam for LPN Questions
Question 1 of 9
The nurse is caring for a client with a traumatic brain injury. Which assessment finding indicates that the client is experiencing Cushing's triad?
Correct Answer: A
Rationale: Cushing's triad (hypertension, widened pulse pressure, bradycardia) from ICP is seen in BP 180/60, pulse 50 (A). Others (B, C, D) don't match. A is correct. Rationale: Triad reflects brainstem compression, a late brain injury sign, per neurocritical care, requiring urgent intervention.
Question 2 of 9
The nurse is caring for a client with a leaking cerebral aneurysm. Which finding should be reported to the physician immediately?
Correct Answer: A
Rationale: A blood pressure of 210/100 in a leaking cerebral aneurysm is a hypertensive crisis, risking re-bleed or extension, requiring immediate physician report normal pupils, no pain, or adequate urine don't signal this urgency. Nurses act swiftly, as uncontrolled pressure threatens brain damage, prompting rapid antihypertensive intervention.
Question 3 of 9
The nurse is performing tracheal suctioning on an assigned client. The nurse uses which parameter as the accurate indicator of the effectiveness of suctioning?
Correct Answer: A
Rationale: Clear breath sounds (A) accurately indicate suctioning effectiveness, showing secretion removal. Infrequent suctioning (B) isn't a direct measure. Minor saturation (C) or rate (D) changes are less specific. A is correct. Rationale: Clear lungs confirm airway patency, the primary goal of suctioning, per respiratory care standards.
Question 4 of 9
The nurse is caring for a client with a traumatic brain injury. Which assessment finding indicates that the client is experiencing Cushing's triad?
Correct Answer: A
Rationale: Cushing's triad (hypertension, widened pulse pressure, bradycardia) from ICP is seen in BP 180/60, pulse 50 (A). Others (B, C, D) don't match. A is correct. Rationale: Triad reflects brainstem compression, a late brain injury sign, per neurocritical care, requiring urgent intervention.
Question 5 of 9
Which of the following statement best describe apnea?
Correct Answer: A
Rationale: Apnea is absence of breathing (A), per respiratory definition any pause, not time-specific (B, 10 seconds is prolonged apnea), nor just difficult (C, dyspnea), nor requiring cyanosis (D). A broadly and best captures apnea's essence, validated by medical use, making it correct.
Question 6 of 9
The nurse is aware that the approximate normal volume of urine produced by an adult per day is
Correct Answer: B
Rationale: Adults produce ~1500 ml urine daily e.g., 1-2 liters per kidney function. Less (800-1000) or more (2000) vary. Nurses monitor e.g., output for health, per norms.
Question 7 of 9
Which of the following statement best describe hospice care?
Correct Answer: B
Rationale: Hospice care is for terminally ill (B), per definition comfort in final months. Not acute (A), not general (C), not mental (D) end-stage focus. B best defines hospice's purpose, making it correct.
Question 8 of 9
Mrs. Lim begins to cry as the nurse discusses hair loss. The best response would be:
Correct Answer: D
Rationale: This response acknowledges her feelings and provides reassurance.
Question 9 of 9
Mr. Gary can read and follow his med instructions. This is an example of?
Correct Answer: A
Rationale: Reading and following med instructions is health literacy (A) understanding info, per definition. Determinants (B) cause, disparity (C) outcome, therapy (D) treatment not literacy-specific. A fits comprehension, making it correct.