ATI LPN
ATI LPN Fundamentals Proctored Exam 2024 Questions
Question 1 of 5
Which of the following do not correctly correlates the increase BP of Ms. Aida, a 70 year old diabetic?
Correct Answer: A
Rationale: Females over 65 often have higher BP e.g., post-menopause not lower, contradicting Aida's rise. Diabetes (vessel damage), morning peaks (circadian), African risk (genetics) align. Nurses note this e.g., elderly diabetics for management.
Question 2 of 5
The thyroid hormone is responsible for
Correct Answer: B
Rationale: Thyroid hormone regulates metabolism e.g., energy use unlike calcium (parathyroid), sodium/potassium (adrenals). Nurses assess e.g., weight for function, per physiology.
Question 3 of 5
Which actions are examples of an RN participating in illness prevention for a client with hypertension?
Correct Answer: A
Rationale: Illness prevention in nursing focuses on proactive measures to stop disease development, particularly for conditions like hypertension. Teaching lifestyle modifications, such as diet and exercise, empowers clients to manage blood pressure and reduce risk, aligning with primary prevention's educational emphasis. Performing risk screenings identifies hypertension early, enabling timely intervention before complications arise, another primary prevention strategy. Providing heart-healthy diet literature reinforces these efforts, equipping clients with practical tools for prevention. Reporting low blood pressure or administering medications, while critical interventions, address existing conditions rather than prevent onset, falling under treatment or management. Nurses' preventive role leverages education and screening to foster healthy habits and early detection, significantly impacting chronic disease trajectories like hypertension, where lifestyle plays a pivotal role.
Question 4 of 5
The second step in implementation of evidence-based practice includes systematic review. To complete a systematic review of the literature, what must the nurse do?
Correct Answer: B
Rationale: In evidence-based practice (EBP), the second step after posing a question is a systematic review, where the nurse summarizes findings from multiple studies on a specific nursing practice like pain relief methods. This involves synthesizing data from diverse sources, assessing consistency, and identifying patterns, not just asking a question (step one) or recommending practice (later step). A meta-analysis, a statistical synthesis, may follow but isn't required here. Systematic review builds a comprehensive evidence base, revealing what works e.g., studies showing non-opioid pain options reduce side effects setting the stage for appraisal and application. It's meticulous, reducing bias by including all relevant research, ensuring nurses ground decisions in a broad, reliable overview rather than isolated findings, critical for effective, patient-centered care.
Question 5 of 5
A client who recently underwent a coronary artery bypass graft is taking furosemide and metoprolol following the procedure. While developing a plan for a heart-healthy diet with the nurse, the client states that diet did not contribute to the heart disease and that the client should be fine just continuing to take the medications. According to the Stages of Change Model, which stage of change is the client in related to diet?
Correct Answer: A
Rationale: The Stages of Change Model tracks behavior shift, and this client's denial of diet's role in heart disease places them in precontemplation. Here, individuals show no intent to change within six months, often resisting evidence like diet's link to atherosclerosis clinging to beliefs that meds alone suffice. Contemplation involves considering change, preparation plans it, and maintenance sustains it none apply, as the client isn't pondering dietary shifts. This stage reflects unawareness or defiance, common post-surgery when focusing on recovery, not prevention. Nursing must gently challenge this, using education like explaining sodium's impact on heart strain to nudge awareness, critical for moving them toward contemplation and eventual heart-healthy habits, preventing further cardiac issues.