ATI LPN
LPN Fundamentals Exam 1 Quizlet Questions
Question 1 of 5
The nurse teaches a client with diabetes to perform daily foot inspections to check for skin breakdown. This teaching is an example of which level of prevention?
Correct Answer: C
Rationale: Teaching a diabetic client daily foot inspections is tertiary prevention, managing an existing condition to prevent complications like ulcers or amputations. Diabetes is chronic, and this intervention post-diagnosis focuses on reducing further harm by catching skin issues early, a common risk due to neuropathy. Primary prevention, like diet to avoid diabetes, precedes onset. Secondary prevention screens for initial signs, not ongoing care. 'Chronic' isn't a level. Nursing's tertiary role here empowers self-monitoring, critical since poor circulation masks injuries studies show inspections slash amputation rates. This aligns with chronic disease management, ensuring the client maintains function and avoids escalation, reflecting nursing's emphasis on practical, preventive care within an established illness.
Question 2 of 5
The nurse is preparing to perform nasotracheal suctioning on a client. The nurse places the client's bed in which position to effectively perform this procedure?
Correct Answer: C
Rationale: Without a figure, nasotracheal suctioning typically requires a semi-Fowler's position (30-45° head elevation), assumed as Position 3 (C), to align the airway and reduce aspiration risk. Flat (A), high Fowler's (B), or prone (D) are less optimal. C is correct. Rationale: Semi-Fowler's facilitates catheter passage and secretion drainage, minimizing complications like gagging or hypoxia, a standard positioning per respiratory care protocols.
Question 3 of 5
A client with a primary brain tumor has developed syndrome of inappropriate secretion of antidiuretic hormone (SIADH). The nurse will expect to see which clinical findings upon assessment? Select all that apply.
Correct Answer: D
Rationale: SIADH causes excessive water retention, diluting sodium. Decreased serum sodium (D) is a hallmark finding, leading to hyponatremia. Nausea/vomiting (A) and bradycardia (C) may occur secondary to cerebral edema, but hyperthermia (B) isn't typical. D is correct for CSV. Rationale: Hyponatremia from SIADH disrupts osmolarity, causing neurological symptoms and fluid overload, a key focus in neurocritical care, distinct from temperature dysregulation, per endocrine disorder management.
Question 4 of 5
The nurse is assessing the client with subdural hematoma after a fall. The client was admitted for observation with a normal neurologic assessment on admission. Upon entering the room the nurse finds the client exhibiting seizure activity. Which is the first action the nurse should take?
Correct Answer: A
Rationale: During a seizure from subdural hematoma, assessing the airway (A) is the first action to ensure oxygenation, per ABC priority. Padding rails (B) is safety but secondary. Notifying (C) or leaving (D) delays care. A is correct. Rationale: Seizures risk airway obstruction; immediate airway assessment prevents hypoxia, a fundamental nursing action in neurological emergencies, guiding subsequent steps like positioning or escalation.
Question 5 of 5
Critical care nurses can best enhance the principle of autonomy by
Correct Answer: C
Rationale: Enhancing autonomy means providing all information (C), empowering patient decision-making. Limiting info (A), assisting minimally (B), or guiding (D) reduce autonomy. C is correct. Rationale: Full disclosure respects patient self-determination, a core ethical principle, per nursing ethics, ensuring informed choices over paternalism.