ATI LPN
LPN Fundamentals Exam 1 Quizlet Questions
Question 1 of 5
When reading the nursing-care plan of a newly assigned client prior to caring for this client, the LPN/LVN will notice that potential problems are stated using how many parts in the statement?
Correct Answer: B
Rationale: In a nursing-care plan, potential problems, or risk diagnoses, are stated in two parts: the risk diagnosis (e.g., 'Risk for Falls') and the related factors (e.g., 'related to impaired mobility'). This format, per NANDA guidelines, identifies the potential issue and its cause, guiding preventive interventions. One-part statements lack context, while three- or four-part formats apply to actual diagnoses with defining characteristics. For an LPN/LVN, recognizing this structure ensures clarity in addressing risks, like monitoring a client prone to falling due to weakness.
Question 2 of 5
The nurse is preparing to do a focused assessment of the abdomen on an assigned client. Which of the following is most important for the nurse to do prior to the examination?
Correct Answer: A
Rationale: Emptying the bladder before an abdominal assessment prevents distension from interfering with palpation or auscultation, most critical for accuracy. Equipment, position, and dressings follow. Nurses ensure this for reliable findings.
Question 3 of 5
The nurse finds that a newborn has a mean systolic pressure of 75 mmHg. How would this blood pressure be best described?
Correct Answer: A
Rationale: A newborn's systolic pressure of 75 mmHg is normal (range 65-95), not low or high. Nurses assess this for neonatal stability.
Question 4 of 5
Which physiological effect of immobility can lead to impaired circulation and increased risk of deep vein thrombosis?
Correct Answer: C
Rationale: Immobility reduces cardiac output by limiting muscle activity that aids venous return, leading to sluggish circulation and blood pooling, heightening deep vein thrombosis risk. This cardiovascular effect stems from less demand on the heart and poor venous flow, a serious concern in bedridden patients. Reduced breathing capacity affects oxygenation, not circulation directly, while muscle weakness and bone density loss impact strength and structure, not blood flow. Nurses monitor this to prevent clot formation, using interventions like leg exercises or compression devices, recognizing that circulation impairment is a critical link to thrombosis in prolonged stillness.
Question 5 of 5
Which intervention is important for preventing venous thromboembolism (VTE) in an immobile patient?
Correct Answer: A
Rationale: Encouraging ambulation and leg exercises prevents venous thromboembolism in immobile patients by boosting blood flow and reducing stasis, key to clot prevention. Sedatives increase immobility, cold compresses don't address circulation, and fluid limits harm hydration. Nurses implement this to counter VTE risk, using movement to enhance venous return, a critical strategy in immobile patient care.