ATI LPN
HESI LPN Fundamentals Test Questions
Question 1 of 5
The thyroid gland is responsible for the secretion of the following hormones except
Correct Answer: D
Rationale: The thyroid secretes thyroxine, T3, calcitonin e.g., metabolism, calcium unlike thyrotropin (TSH, pituitary). Nurses know e.g., labs for roles, per endocrine.
Question 2 of 5
What is the best explanation for the way evidence-based practice (EBP) has changed the way nursing care is delivered?
Correct Answer: C
Rationale: Evidence-based practice (EBP) has transformed nursing by making it a means of ensuring quality care, integrating current research, clinical expertise, and patient values into a systematic approach. Unlike simply incorporating studies, EBP evaluates and applies them to improve outcomes like reducing infection rates through proven protocols ensuring consistency and safety. Specialty knowledge enhances care but isn't EBP's core shift. Pre-EBP, nursing relied on tradition or economics, but now it prioritizes quality via evidence, not cost alone. This evolution empowers nurses to deliver precise, effective interventions, like using ginger for nausea based on reviews, elevating care beyond habit. EBP's focus on quality over mere incorporation or economics marks a paradigm shift, aligning nursing with scientific rigor and patient-centered excellence across diverse settings.
Question 3 of 5
Why are health promotion and illness prevention a key responsibility of nurses?
Correct Answer: D
Rationale: Health promotion and illness prevention are nursing cornerstones because chronic illnesses like heart disease or diabetes are the world's leading health problems, per WHO, driving morbidity and mortality. Nurses tackle this by fostering wellness e.g., teaching diet to prevent hypertension reducing chronicity's burden. Cost, pain, and aversion to sickness matter, but their root lies in chronic prevalence, making prevention paramount. Nurses' proactive role immunizations, lifestyle counseling curbs these conditions' onset or progression, even in diagnosed clients, enhancing life quality. This responsibility reflects nursing's global impact, addressing a pervasive challenge with education and advocacy, not just reaction, aligning with public health goals to shift focus from cure to prevention.
Question 4 of 5
The nurse is caring for a client who tells the nurse, 'I used to exercise daily, but since my diagnosis of COPD, I don't do much of anything.' Which nursing response promotes the client's health?
Correct Answer: B
Rationale: For a COPD client who's stopped exercising, promoting health means adapting to limits while encouraging activity 'Let's find activities you can enjoy' offers tailored options like gentle walking or chair exercises, boosting lung function and mood without overtaxing breathing. This tertiary prevention approach enhances life quality post-diagnosis, a nursing strength, as studies show light activity cuts COPD decline. Returning to old routines risks exhaustion, ignoring lung capacity loss. Dismissing exercise negates its benefits movement aids oxygen use. Pushing through fatigue could worsen symptoms, not help. The nurse's reply fosters hope and agency, key to managing chronic illness, aligning with nursing's goal to optimize function and well-being within new realities.
Question 5 of 5
The nurse provides teaching to the parents of an adolescent client with generalized anxiety disorder. Which statements by the nurse are included in the teaching? Select all that apply.
Correct Answer: D
Rationale: Generalized anxiety disorder (GAD) teaching includes D: brain chemistry contributes via neurotransmitter imbalances (e.g., serotonin). A is false; GAD is common. B and C are true but not the single focus. Rationale: Neurochemical factors are a core GAD cause, per DSM-5, guiding treatment like SSRIs, making D essential for parental understanding.