ATI LPN
LPN Fundamentals of Nursing ATI Questions
Question 1 of 5
The nurse is determining the need for suctioning in a client with an endotracheal tube (ETT) attached to a mechanical ventilator. Which observation by the nurse is inconsistent with the need for suctioning?
Correct Answer: D
Rationale: Low peak inspiratory pressure (D) suggests a leak, not secretion buildup needing suctioning. Restlessness (A), gurgling (B), and congestion (C) indicate obstruction. D is correct. Rationale: High pressure, not low, accompanies secretion retention, per ventilator management principles.
Question 2 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 3 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 4 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.
Question 5 of 5
When instructing the family of a client who has diabetes with neuropathy causing impaired skin sensitivity, you would stress the importance of which one of the following things in regard to showering or bathing?
Correct Answer: D
Rationale: For a diabetic client with neuropathy, ensuring water isn't hot is crucial due to reduced sensation, preventing burns. Neuropathy dulls temperature perception, so a method like testing with an elbow safeguards skin integrity. Cleaning with peroxide is unrelated, and drying or lotion help but don't address the primary risk. This instruction empowers the family to prevent injury, a key nursing focus in managing sensory deficits.