ATI LPN
LPN Nursing Fundamentals Questions
Question 1 of 5
Which of the following statements best describes a wellness nursing diagnosis for an individual, family, or community?
Correct Answer: A
Rationale: A wellness nursing diagnosis best describes a clinical judgment of transitioning to a higher wellness level, focusing on enhancing health beyond mere absence of disease. Unlike pathology-based diagnoses, it identifies potential for growth like improving nutrition in a healthy client reflecting nursing's preventive role. Judging no pathology or more wellness than illness is narrower, missing the forward-looking aspect, while family strengths support interventions but aren't the diagnosis. This perspective encourages proactive care, aligning with wellness models to elevate client health.
Question 2 of 5
You partially darken a room and ask the client to look straight ahead. You use a penlight and, approaching from the side you shine the light, it constricts. You remove the light and then shine it on the same pupil again. You also observe the response of the other pupil. You would normally find the other pupil doing which of the following things?
Correct Answer: D
Rationale: The other pupil constricts consensually when light hits one, a normal reflex. No change, dilation, or mixed response indicates abnormality. Nurses test this for brain function.
Question 3 of 5
The nurse notices that the client has a hematocrit of 70 percent. This level of hematocrit will most likely affect the vital signs in which of the following ways?
Correct Answer: A
Rationale: A 70% hematocrit, abnormally high, increases blood viscosity, elevating blood pressure, not lowering pulse or raising temperature. Nurses monitor this for circulatory strain.
Question 4 of 5
What is the purpose of utilizing proper positioning techniques for patients?
Correct Answer: A
Rationale: Proper positioning techniques aim to maintain patient comfort by reducing pressure points, aligning the body, and preventing pain or discomfort during rest or treatment. This focus enhances patient well-being, crucial for recovery and satisfaction in care settings. Encouraging social engagement, aiding walking, or enhancing coordination, while valuable, aren't the core objectives of positioning those require distinct interventions like group activities or physical therapy. Comfort underpins healing, as unrelieved pressure or misalignment can lead to complications like ulcers or muscle strain. Nurses prioritize this to support physiological stability, ensuring patients feel at ease, which indirectly supports broader therapeutic goals without being the primary intent.
Question 5 of 5
Which intervention should the nurse implement to maintain adequate hydration in an immobile patient?
Correct Answer: A
Rationale: Offering room-temperature fluids maintains hydration in immobile patients by encouraging intake comfortably, supporting circulation and organ function. Limiting fluids risks dehydration, straws help but aren't universal, and IV fluids aren't routine. Nurses promote this to ensure fluid balance, adapting to patient preferences, a simple yet effective hydration strategy in restricted mobility cases.