ATI LPN
Nursing Fundamentals Exam for LPN Questions
Question 1 of 5
When caring for a client who has just been diagnosed with a chronic illness, the nurse understands the importance of promoting health by highlighting which concept?
Correct Answer: C
Rationale: Promoting health post-chronic illness diagnosis shifts the client's perspective toward resilience, emphasizing what is possible achievable goals like managing symptoms or maintaining independence. This empowers the client, fostering hope and agency despite limitations, aligning with nursing's wellness focus. Focusing on what can no longer be or altered functioning highlights loss, risking despair, while probing the illness's cause offers little actionable benefit and may frustrate. By targeting possibilities like adapting activities for a diabetic client the nurse builds a positive care plan, leveraging strengths to optimize function. This approach mitigates the chronic condition's impact, encouraging a proactive mindset essential for long-term coping and quality of life, reflecting nursing's holistic support ethos.
Question 2 of 5
A nurse is working with a client who has hypertension and wants to try lifestyle changes before beginning medications. Which nursing action promotes the client's health?
Correct Answer: C
Rationale: For a hypertensive client opting for lifestyle changes, promoting health means boosting non-drug control teaching walking benefits lowers blood pressure via cardio fitness, a primary prevention step aligning with nursing's empowerment ethos. Walking 30 minutes most days cuts systolic pressure, per studies, delaying or avoiding meds. Screening for kidney disease is secondary, checking damage, not promoting wellness here. Referring to a nutritionist aids diet but isn't the action teaching is. Planning heart failure care is tertiary, unrelated. This education suits the client's goal, offering a tangible, self-led option walking's free, rural-friendly enhancing adherence and confidence, a nursing strategy to shift health trajectories before pharmacology.
Question 3 of 5
The nurse is told that an assigned client will have a fenestrated tracheostomy tube inserted. The nurse should provide the client with which information about this type of tube?
Correct Answer: A
Rationale: A fenestrated tracheostomy tube (A) allows speech by permitting air through the vocal cords. Rationale: The fenestration design supports phonation, aiding communication, unlike non-fenestrated tubes.
Question 4 of 5
The nurse is performing tracheal suctioning on an assigned client. The nurse uses which parameter as the accurate indicator of the effectiveness of suctioning?
Correct Answer: A
Rationale: Clear breath sounds (A) accurately indicate suctioning effectiveness, showing secretion removal. Infrequent suctioning (B) isn't a direct measure. Minor saturation (C) or rate (D) changes are less specific. A is correct. Rationale: Clear lungs confirm airway patency, the primary goal of suctioning, per respiratory care standards.
Question 5 of 5
A client is diagnosed with a brain attack (cerebrovascular accident, CVA). The baseline vital signs are a pulse rate of 78 bpm and a blood pressure (BP) of 120/80 mm Hg. The nurse continues to monitor the vital signs and recognizes that which changes in vital signs indicate increased intracranial pressure (ICP)?
Correct Answer: A
Rationale: Increased ICP post-CVA shows Cushing's triad: bradycardia, hypertension, and widened pulse pressure. Pulse 50, BP 140/60 (A) fits this. B has high diastolic. C is near normal. D suggests shock. A is correct. Rationale: Bradycardia and widened pulse pressure reflect ICP's brainstem effect, a critical sign per stroke monitoring.