ATI LPN
LPN Fundamentals Practice Test Questions
Question 1 of 9
What is the relevance of a code of ethics for nurses?
Correct Answer: C
Rationale: A nursing code of ethics, like Kenya's or ANA's, defines principles autonomy, justice, beneficence shaping client care delivery. It guides decisions (e.g., respecting refusal), ensuring ethical practice. Improving universal health is an outcome, not the code's purpose, which focuses on conduct. Providing identical care misreads ethics; it ensures fairness, not uniformity care varies by need. Protecting nurses' desires prioritizes self-interest, not clients, clashing with the code's intent. Defining principles offers a moral compass, enabling nurses to navigate dilemmas, uphold trust, and deliver client-centered care, making this the code's core relevance.
Question 2 of 9
The need for university-based nursing education programs was brought to light during which important historical time?
Correct Answer: C
Rationale: The evolution of nursing education reflects historical shifts in healthcare demands, and World War II marked a significant turning point. During this period, Esther Lucile Brown's 1940s report highlighted the need for nursing education to move from hospital-based training to colleges and universities, arguing it would elevate the profession's standards and scientific foundation. This shift was driven by the war's demand for skilled nurses in both military and civilian roles, exposing the limitations of earlier apprenticeship models. The Spanish-American War saw nursing in its infancy, while World War I, despite Florence Nightingale's influence, still struggled with professionalization. The Civil War predates these developments, with nursing largely informal. World War II's crisis needs catalyzed a formal push for university-based programs, shaping modern nursing education to meet complex healthcare challenges with a stronger academic base, a legacy that continues to influence the profession today.
Question 3 of 9
The primary cause of pain in inflammation is
Correct Answer: C
Rationale: The primary cause of pain in inflammation is compression of local nerve endings by edema fluids (C). Swelling from increased capillary permeability presses on nerves, triggering pain signals. Pain mediators (A) like prostaglandins sensitize nerves but aren't the primary cause. Nerve injury (B) may occur but isn't typical in inflammation's onset. Reduced circulation (D) causes ischemia-related pain, not inflammation's hallmark. Edema's mechanical pressure directly stimulates nociceptors, aligning with inflammation's sequence and making C the correct answer.
Question 4 of 9
The best way to decrease the risk of transferring pathogens to a patient when removing contaminated gloves is to:
Correct Answer: C
Rationale: Inverting gloves traps pathogens inside, reducing contamination risk.
Question 5 of 9
Which of the following concept is most important in establishing a therapeutic nurse patient relationship?
Correct Answer: D
Rationale: Understanding patients test trust (D) is most important; it's foundational for rapport, per Peplau. Full understanding (A) evolves later, role modeling (B) is secondary, maladaptive behavior (C) follows trust. D initiates the relationship, making it correct.
Question 6 of 9
A client in a long term care facility complains of pain. The nurse collects data about the client's pain. The first step in pain assessment is for the nurse to
Correct Answer: C
Rationale: Accepting the client's report is the foundation of pain assessment.
Question 7 of 9
The nurse is planning to suction a client through a tracheostomy tube. Which is the amount of time for application of suction during withdrawal of the catheter?
Correct Answer: A
Rationale: Suctioning through a tracheostomy should last 10 seconds (A) during withdrawal to minimize hypoxia and trauma, per standard guidelines. Longer times 25 (B), 30 (C), or 35 (D) seconds increase risks of oxygen depletion and mucosal injury. A is correct. Rationale: Limiting suction to 10 seconds balances secretion removal with oxygenation preservation, a key safety measure in airway management, preventing complications like atelectasis or arrhythmias, as endorsed by AACN and ATS.
Question 8 of 9
For a rectal examination, the patient can be directed to assume which of the following positions?
Correct Answer: D
Rationale: All positions (knee-chest, Sims, horizontal recumbent) are suitable for rectal exams.
Question 9 of 9
The nurse is assisting in caring for a client with a tracheal tube attached to a ventilator when the high-pressure alarm sounds. The nurse checks the client and system for which most likely cause?
Correct Answer: D
Rationale: A high-pressure alarm indicates resistance in the ventilator circuit; accumulation of secretions (D) is the most likely cause, obstructing airflow. A cuff leak (A) or disconnection (C) triggers low-pressure alarms. A loose connection (B) is less common for high pressure. D is correct. Rationale: Secretions block the tube, increasing pressure needed to ventilate, a frequent issue in intubated patients, requiring suctioning, per ventilator troubleshooting protocols. This distinguishes it from leaks or disconnections, ensuring timely airway clearance.