ATI LPN
LPN Fundamentals Study Guide Questions
Question 1 of 9
Which of the following statement best describe care coordination?
Correct Answer: B
Rationale: Care coordination is organizing care across providers (B), per definition e.g., linking specialists. Not one provider (A), not financial (C), not single (D) team-based. B best defines coordination's integration, making it correct.
Question 2 of 9
Which is unlikely of Florence Nightingale?
Correct Answer: A
Rationale: Nightingale was born 1820, not 1840 living to 90, she founded St. Thomas' School in 1860 (age 40), wrote ‘Notes on Nursing' (1859), and ‘Notes on Hospitals.' The 1840 birth is incorrect; her early life shaped her Crimean work (1850s), cementing her as nursing's founder.
Question 3 of 9
What action should the nurse take when caring for a client who has a possible skull fracture as a result of trauma?
Correct Answer: A
Rationale: For a possible skull fracture, monitoring for brain injury signs (A) is the priority, detecting neurological deterioration like altered consciousness or pupil changes. Checking hemorrhage (B) is secondary. Elevating the foot (C) risks increasing ICP. Observing decreased ICP (D) is incorrect; increased ICP is the concern. A is correct. Rationale: Brain injury monitoring identifies life-threatening complications like hematoma, guiding timely intervention, per trauma care protocols, over less immediate or contraindicated actions.
Question 4 of 9
Which gastrointestinal effect is commonly seen in immobile patients?
Correct Answer: C
Rationale: Constipation frequently affects immobile patients as reduced movement slows peristalsis and increases intestinal water absorption, hardening stool. This disruption in bowel function is a well-documented outcome of limited physical activity, requiring nursing interventions like hydration or laxatives. Appetite doesn't typically rise with immobility, nor does peristalsis speed up it diminishes. Diarrhea isn't a standard effect unless other factors intervene. Nurses tackle this to restore regularity, understanding that immobility's impact on digestion underscores the need for proactive gastrointestinal care in such patients.
Question 5 of 9
Which of the following teaching method is effective in client who needs to be educated about self injection of insulin?
Correct Answer: B
Rationale: Demonstration (B) is effective for teaching insulin self-injection, per psychomotor learning showing skills trumps telling. Explanation (A) lacks action, pamphlets (C) and films (D) supplement, not replace. B ensures mastery, making it correct.
Question 6 of 9
When a nurse is tried under criminal law, the nurse is being brought to trial by:
Correct Answer: A
Rationale: When a nurse faces a trial under criminal law, it involves a legal action initiated by the state or government, representing society as a whole, rather than a private entity or individual. Criminal law addresses offenses deemed harmful to the public, such as negligence causing harm or intentional misconduct. Unlike civil cases, where an individual or organization might sue for damages, criminal cases are prosecuted by the state to uphold public safety and justice. The nurse's actions are evaluated against legal standards that protect society, making this the most accurate description. Other options, like the plaintiff's lawyer or an individual, pertain more to civil litigation, while an organization might be involved in internal discipline but not a criminal trial. This distinction is critical in understanding the scope and authority behind criminal proceedings in nursing practice.
Question 7 of 9
The nurse is caring for a client with a Sengstaken-Blakemore tube in place. If the client becomes increasingly restless, the nurse should:
Correct Answer: B
Rationale: Checking pulse oximetry in a restless client with a Sengstaken-Blakemore tube assesses hypoxia, a common distress cause deflating the balloon risks bleeding, suction changes are unguided, and sedation masks symptoms. Nurses prioritize oxygenation, ensuring airway safety, critical during esophageal varices management.
Question 8 of 9
When pain impulses are transmitted via the A-delta fibers, which of the following types of pain will your client have?
Correct Answer: A
Rationale: A-delta fibers transmit sharp, pricking pain, fast and localized, unlike throbbing, burning, or stabbing via C-fibers. Nurses recognize this for pain type assessment.
Question 9 of 9
He described the development of faith. He suggested that faith is a spiritual dimension that gives meaning to a persons life. Faith according to him, is a relational phenomenon.
Correct Answer: C
Rationale: James Fowler's faith development theory, from the 1980s, views faith as a spiritual, relational force giving life meaning e.g., a patient's trust in a nurse reflects this. Gilligan's care ethics, Westerhoff's behavioral faith, and Freud's psychology differ. Fowler's stages from intuitive to universalizing guide nurses in addressing spiritual needs, enhancing holistic care.