ATI LPN
LPN Fundamentals Final Exam Questions
Question 1 of 5
Which of the following is TRUE about the human needs?
Correct Answer: D
Rationale: Maslow's theory (1940s) allows need priorities to shift e.g., safety over hunger in danger. Needs interrelate (esteem ties to safety), aren't rigid, and can defer. Nurses adapt e.g., tackling pain before teaching reflecting this flexibility, key to responsive care planning.
Question 2 of 5
If the client is female, and the doctor is a male and the patient is about to undergo a vaginal and cervical examination, why is it necessary to have a female nurse in attendance?
Correct Answer: D
Rationale: A female nurse ensures ethics e.g., chaperoning prevents misconduct in a male doctor's vaginal exam. Safety, assistance, monitoring are secondary. Nurses uphold e.g., comfort for standards, per guidelines.
Question 3 of 5
The client underwent a colon surgery yesterday, and just started on ice chips today, Which of the following assessment findings demonstrates a need for nursing intervention?
Correct Answer: B
Rationale: Absence of bowel sounds post-colon surgery e.g., ileus needs intervention (e.g., notify MD), unlike hypoactive (returning), mixed, or hyperactive (normalizing). Nurses assess e.g., auscultation for complications, per post-op care.
Question 4 of 5
The nurse is performing care for a client in the end stage of cancer. How can the nurse best facilitate the client and family's ability to cope?
Correct Answer: D
Rationale: When caring for a client in the end stage of cancer, the nurse plays a pivotal role in supporting both the client and their family through a holistic approach that enhances coping mechanisms. Assisting with activities of daily living helps maintain the client's comfort and dignity, addressing physical needs that may be compromised due to disease progression. Referring the client and family to hospice services is equally vital, as it provides specialized support tailored to end-of-life care, including pain management, emotional counseling, and practical assistance in various settings like homes or facilities. This referral empowers the family to remain involved while accessing expert resources, fostering resilience and preparedness for the client's passing. Conversely, encouraging the family to leave or telling them there's nothing they can do undermines their emotional needs and sense of agency, potentially intensifying grief and hopelessness. Effective coping is facilitated by maximizing the client's strengths, offering education, and integrating community support systems, ensuring the family feels supported rather than sidelined during this critical time.
Question 5 of 5
When looking at a model for evidence-based practice, what is the final step of the process?
Correct Answer: D
Rationale: Evidence-based practice (EBP) follows a systematic process to integrate research into care, with evaluating practice change as the final step. It begins with formulating a clinical question to identify the issue, followed by searching and appraising the literature to gather and assess evidence. Implementing the change comes next, but evaluation critically appraising the change's impact, like improved patient outcomes or cost-effectiveness completes the cycle. This step ensures the intervention works in practice, not just theory, by analyzing data like recovery rates or patient feedback. It's a reflective process, allowing nurses to refine or discard changes, ensuring EBP remains dynamic and patient-focused. This closure distinguishes EBP from mere research application, embedding continuous improvement into nursing practice for sustained quality and safety.