ATI LPN
LPN Fundamentals Practice Questions Questions
Question 1 of 5
The nurse is caring for a client with an endotracheal tube attached to a ventilator. The high-pressure alarm sounds on the ventilator. The nurse prepares to perform which priority nursing intervention?
Correct Answer: A
Rationale: A high-pressure alarm on a ventilator indicates obstruction or resistance, often from secretions; suctioning (A) is the priority to clear the airway. Checking for disconnection (B) fits low-pressure alarms. Notifying respiratory therapy (C) delays action. Evaluating the cuff (D) addresses leaks, not high pressure. A is correct. Rationale: Suctioning resolves common causes like mucus plugs, restoring ventilation swiftly, a first-line action per ventilator management protocols, critical to prevent hypoxia or barotrauma.
Question 2 of 5
When caring for a client with a spinal cord injury, the nurse continually monitors this client for which medical emergency?
Correct Answer: D
Rationale: Autonomic hyperreflexia (D) is a medical emergency in spinal cord injury (SCI) above T6, causing severe hypertension from unopposed sympathetic response. Hemorrhage (A) or shock (B) requires trauma context. GI atony (C) is chronic, not emergent. D is correct. Rationale: Hyperreflexia, triggered by stimuli like bladder distension, can lead to stroke or death if untreated, requiring urgent monitoring and intervention, per SCI emergency protocols, unlike less acute complications.
Question 3 of 5
A client with a traumatic brain injury is receiving mannitol. The nurse should monitor for which adverse effect of this medication?
Correct Answer: A
Rationale: Mannitol, an osmotic diuretic, can cause hypotension (A) from fluid shifts and diuresis. Hyperkalemia (B), hyperglycemia (C), or bradycardia (D) are less common. A is correct. Rationale: BP drop risks perfusion; monitoring ensures safety, per pharmacology, critical in brain injury management.
Question 4 of 5
Which of the following theorists stressed energy fields in their nursing theory?
Correct Answer: D
Rationale: Martha E. Rogers' nursing theory, the Science of Unitary Human Beings, uniquely stresses energy fields, viewing humans and their environments as dynamic, interconnected patterns. Unlike Orem's self-care focus, Neuman's systems approach, or Parse's human becoming perspective, Rogers emphasizes energy exchange like therapeutic touch affecting health. For instance, a nurse might consider environmental energy disruptions when a client's recovery stalls, applying this abstract concept practically. This distinguishes her theory, integrating physics-like principles into nursing to enhance holistic understanding and care.
Question 5 of 5
On a home visit, you notice some dust on a vent in your client's room and on the windowsill. Which of the following methods would you teach the family to use for removing dust?
Correct Answer: A
Rationale: Teaching the family to use a damp cloth removes dust effectively, trapping particles rather than dispersing them, unlike feather dusters or brooms. Vacuuming works but isn't always practical for small areas. This method reduces allergens and infection risks in the home, a simple, accessible nursing intervention for environmental hygiene.