ATI LPN
ATI LPN Fundamentals Proctored Exam 2024 Questions
Question 1 of 5
The second step in implementation of evidence-based practice includes systematic review. To complete a systematic review of the literature, what must the nurse do?
Correct Answer: B
Rationale: In evidence-based practice (EBP), the second step after posing a question is a systematic review, where the nurse summarizes findings from multiple studies on a specific nursing practice like pain relief methods. This involves synthesizing data from diverse sources, assessing consistency, and identifying patterns, not just asking a question (step one) or recommending practice (later step). A meta-analysis, a statistical synthesis, may follow but isn't required here. Systematic review builds a comprehensive evidence base, revealing what works e.g., studies showing non-opioid pain options reduce side effects setting the stage for appraisal and application. It's meticulous, reducing bias by including all relevant research, ensuring nurses ground decisions in a broad, reliable overview rather than isolated findings, critical for effective, patient-centered care.
Question 2 of 5
A nurse working in a community health center is focusing on illness prevention for a group of young adults. Which action reflects primary prevention?
Correct Answer: B
Rationale: Primary prevention targets illness before it strikes, ideal for young adults shaping lifelong habits. Educating about smoking risks cancer, lung damage aims to deter uptake or prompt quitting, a modifiable behavior with huge impact, as smoking's a top preventable death cause. Screening for STIs is secondary, catching disease early, not stopping it. Referring depression cases or planning asthma care is tertiary, managing conditions, not preventing onset. Smoking education fits primary prevention's proactive core studies show early awareness cuts initiation rates perfect for a community setting where young adults face peer pressures. Nursing uses this to shift trajectories, reducing chronic illness odds through informed choice, a powerful, scalable action for this age group's health future.
Question 3 of 5
The nurse is teaching the parent of an infant client about common pediatric conditions. Which statement by the nurse about otitis media is correct?
Correct Answer: B
Rationale: Otitis media (OM), middle ear infection, is often bacterial (e.g., Streptococcus pneumoniae). The correct statement is B: vaccines like PCV13 prevent some causes by targeting pathogens. A is false; OM typically follows infections. C is wrong; OM isn't highly contagious or systemic. D is incorrect; pacifiers increase OM risk. Rationale: Vaccines reduce OM incidence by immunizing against common bacteria, a key preventive strategy per AAP guidelines, unlike the other statements which misrepresent etiology or prevention.
Question 4 of 5
A client with a tracheostomy gets easily frustrated when trying to communicate personal needs to the nurse. The nurse determines that which method for communication may be the easiest for the client?
Correct Answer: B
Rationale: For a tracheostomy client, a picture or word board (B) is easiest, allowing quick, clear communication without speech. Paper (A) requires literacy and dexterity. Family interpretation (C) is unreliable. Hand signals (D) need setup. B is correct. Rationale: Visual aids bypass vocal limitations, enhancing autonomy, a practical solution per speech therapy standards.
Question 5 of 5
What interventions should the nurse implement in caring for a client with diabetes insipidus (DI) following a head injury? Select all that apply.
Correct Answer: A
Rationale: For diabetes insipidus (DI) post-head injury, providing fluids (A) prevents dehydration from polyuria. Increasing urine specific gravity (B) contradicts DI's dilute urine. Erythromycin (C) is unrelated. Neurological changes (D) are monitored but secondary. A is correct. Rationale: Fluid replacement matches DI's excessive output, a primary intervention per endocrine care standards, maintaining hydration.