ATI LPN
LPN Fundamentals Practice Questions Questions
Question 1 of 5
Which are goals of nursing theory?
Correct Answer: A
Rationale: Nursing theory serves as a foundational framework, guiding practice with clear goals. It provides knowledge and a rationale for client interventions, explaining why specific actions like wound care techniques benefit patients, rooted in conceptual understanding. It offers a rationale for appropriate nursing actions, ensuring responses to situations, such as pain management, are logical and effective. Identifying and defining concepts important to nursing like health or caring clarifies the discipline's focus, fostering consistency. Increasing the nursing body of knowledge expands its intellectual base through theoretical development. However, it doesn't provide a single definition for nursing, instead directing it toward a common purpose across diverse interpretations. These goals unify nursing, bridging theory to practice, and equip nurses to deliver informed, purposeful care that adapts to client needs and evolves with new insights.
Question 2 of 5
The nurse is caring for clients in a rural health clinic and wants to promote illness prevention. Which action should the nurse take?
Correct Answer: A
Rationale: In a rural clinic, illness prevention primary prevention aims to stop disease before it starts, critical where access lags. Providing accident prevention education, like safe tractor use or fall risks, targets common rural hazards, reducing injuries proactively. Screening for hypertension is secondary, detecting issues, not preventing them. Referring chronic cases to specialists or teaching diabetic diets is tertiary, managing existing conditions, not averting onset. Accident prevention fits rural needs data shows higher injury rates in such areas empowering clients with knowledge to avoid harm. The nurse's action aligns with nursing's preventive role, addressing environmental and lifestyle risks unique to the setting, enhancing community health by tackling root causes before they escalate, a practical step given limited rural resources.
Question 3 of 5
Select the 4 findings that require immediate follow-up.
Correct Answer: D
Rationale: In a clinical scenario requiring immediate follow-up, nurses prioritize findings indicating potential deterioration or instability. Among the options lung sounds, capillary refill, client orientation, radial pulse characteristic, and others like vital signs or cough characteristics radial pulse characteristic (D) stands out as a critical indicator needing urgent attention if abnormal. An irregular, weak, or absent radial pulse could signal cardiovascular compromise, such as arrhythmia or shock, demanding immediate intervention. Lung sounds (A) are vital, but adventitious sounds alone don't always necessitate instant action unless paired with distress. Capillary refill (B) reflects perfusion, but a delay (e.g., >2 seconds) is concerning only in context. Client orientation (C) assesses neurological status, but subtle changes may not require immediate follow-up unless severe. The question asks for four findings, but the CSV limits to one correct answer, so D is chosen for its direct link to circulatory stability, a priority in emergencies. Rationale: Pulse abnormalities can precede life-threatening conditions like cardiac arrest, requiring swift assessment and action per ACLS guidelines, unlike the others which may escalate more gradually.
Question 4 of 5
The nurse is caring for a client with an endotracheal tube attached to a ventilator. The high-pressure alarm sounds on the ventilator. The nurse prepares to perform which priority nursing intervention?
Correct Answer: A
Rationale: A high-pressure alarm on a ventilator indicates obstruction or resistance, often from secretions; suctioning (A) is the priority to clear the airway. Checking for disconnection (B) fits low-pressure alarms. Notifying respiratory therapy (C) delays action. Evaluating the cuff (D) addresses leaks, not high pressure. A is correct. Rationale: Suctioning resolves common causes like mucus plugs, restoring ventilation swiftly, a first-line action per ventilator management protocols, critical to prevent hypoxia or barotrauma.
Question 5 of 5
The nurse is assisting in caring for the client immediately after removal of the endotracheal tube following radical neck dissection. The nurse interprets that which sign experienced by the client should be reported immediately to the registered nurse (RN)?
Correct Answer: A
Rationale: Post-extubation after radical neck dissection, stridor (A) indicates airway obstruction (e.g., edema, laryngospasm), requiring immediate RN reporting. Lung congestion (B) or pink sputum (C) suggest fluid but are less urgent. A rate of 26 (D) is elevated but not critical alone. A is correct. Rationale: Stridor signals potential airway compromise, a life-threatening emergency post-neck surgery due to swelling or structural changes, necessitating rapid intervention like reintubation or steroids, per post-operative care standards, unlike less acute findings.