ATI LPN
Nursing Fundamentals Exam for LPN Questions
Question 1 of 5
The nurse notes that the apical heart rate of a newborn is 152 beats per minute and regular. The nurse should:
Correct Answer: A
Rationale: A newborn's normal heart rate ranges from 120-160 beats per minute at rest, per pediatric norms. At 152 bpm and regular, this falls within healthy limits, reflecting a typical neonatal cardiovascular response e.g., higher rates due to immature regulation. Notifying the physician is unnecessary without distress signs (e.g., cyanosis), as this isn't abnormal. Monitoring is routine but not the priority action documentation suffices unless trends shift. Assessing for circulatory distress (e.g., poor perfusion) is proactive, but with regularity and no symptoms, it's not indicated. Documenting as normal aligns with evidence-based practice, ensuring accurate records without escalating a non-issue, standard for stable newborns.
Question 2 of 5
The most important purpose of cleansing bed bath is:
Correct Answer: A
Rationale: A cleansing bed bath aims to clean, refresh, and comfort bedridden clients.
Question 3 of 5
A registered nurse reaches to answer the telephone on a busy pediatric unit, momentarily turning away from a 3 month-old infant she has been weighing. The infant falls off the scale, suffering a skull fracture. The nurse could be charged with:
Correct Answer: D
Rationale: Malpractice involves professional negligence causing harm, like leaving an infant unattended.
Question 4 of 5
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 5 of 5
While caring for a client, the nurse notes a pulsating mass in the client's periumbilical area. Which of the following assessments is appropriate for the nurse to perform?
Correct Answer: B
Rationale: Auscultating for a bruit confirms an aneurysm; palpation risks rupture.