ATI LPN
ATI Fundamentals Proctored Exam LPN Questions
Question 1 of 5
What stress response can you expect from a patient with blood sugar of 50 mg/dl?
Correct Answer: C
Rationale: A blood sugar level of 50 mg/dl indicates hypoglycemia, a stress state triggering the body's fight-or-flight response. The client will appear restless due to the brain's reliance on glucose; low levels cause agitation as a protective mechanism to signal distress. The body attempts to increase glucose via glycogenolysis and gluconeogenesis (opposite of A), so decreasing glucose further is incorrect. Halting sex hormone release (B) occurs in chronic stress, not acute hypoglycemia. Blood pressure may rise (D) due to catecholamine release, but restlessness is the most immediate and observable response in this acute scenario, aligning with early stress symptoms. Thus, C is correct as it directly reflects the patient's presentation during a hypoglycemic crisis.
Question 2 of 5
Roger has been seen agitated, shouting and running. As Nurse Aida approaches, he shouts and swear, calling Aida names. Nurse Aida told Roger 'That is an unacceptable behavior Roger, Stop and go to your room now.' The situation is most likely in what phase of NPR?
Correct Answer: C
Rationale: This scenario fits the Working phase (C). Roger's agitation and Aida's response setting boundaries suggest an established relationship where interventions address behaviors. Pre-Orientation (A) is pre-contact, Orientation (B) builds trust, not confrontation, and Termination (D) ends care. In Peplau's Working phase, the nurse actively helps the client manage issues, as Aida does here, making C the likely phase.
Question 3 of 5
Myra, 21 year old nursing student has difficulty sleeping. She told Nurse Budek 'I really think a lot about my x boyfriend recently' Budek told Myra 'And that causes you difficulty sleeping?' Which therapeutic technique is used in this situation?
Correct Answer: D
Rationale: Budek's 'And that causes you difficulty sleeping?' seeks clarification (D), asking Myra to confirm the link between her ex and insomnia. Reflecting (A) mirrors feelings (e.g., 'You're upset?'). Restating (B) repeats (e.g., 'You think about him a lot?'). Exploring (C) probes broadly. Clarification ensures understanding, per therapeutic models, fitting Budek's intent, making D correct.
Question 4 of 5
Myra told Budek 'I cannot sleep, I stay away all night' Budek told her 'You have difficulty sleeping' This is what type of therapeutic communication technique?
Correct Answer: B
Rationale: Budek's 'You have difficulty sleeping' is restating (B), rephrasing Myra's 'I cannot sleep' to show listening. Reflecting (A) echoes feelings (e.g., 'You're restless?'). Exploring (C) probes (e.g., 'Why can't you?'). Clarification (D) seeks meaning (e.g., 'What keeps you awake?'). Restating validates Myra's issue, per communication theory, making B correct.
Question 5 of 5
These are data that are monitored by using graphic charts or graphs that indicated the progression or fluctuation of client's Temperature and Blood pressure.
Correct Answer: D
Rationale: Flow sheets (D) use graphs to track temperature and BP fluctuations, per charting norms. Progress notes (A) narrate, Kardex (B) summarizes, flow charts (C) diagram processes. D matches graphical monitoring, making it correct.