ATI LPN
HESI LPN Fundamentals Test Questions
Question 1 of 5
You are a student nurse working as a part-time or temporary nursing assistant in a nursing home. The nurse on duty asks you to insert a nasogastric tube in a patient. You have recently passed an examination on putting in a nasogastric tube. Which of the following actions is best on your part?
Correct Answer: D
Rationale: As a student nurse working as a nursing assistant, refusing to insert a nasogastric tube is the best action because it exceeds your legal scope of practice. Nursing assistants, even with training, are not authorized to perform invasive procedures like NG tube insertion, which requires a licensed nurse's skill and accountability. Doing it, even with supervision, risks legal and safety violations, as your role is limited to basic care. Consulting an instructor delays action and doesn't resolve the legal issue. Informing the nurse of your limitation upholds professional boundaries, protects the patient from potential harm due to inexperience, and ensures compliance with regulations, prioritizing safety and legality over task completion.
Question 2 of 5
In the Problem Oriented Medical Record documentation system (POMR), which of the following answers best represents the person or persons who may contribute to the problem list representing the client's physiologic, psychologic, social, cultural, spiritual, developmental, and environmental needs?
Correct Answer: D
Rationale: In POMR, all caregivers contribute to the problem list, reflecting a holistic view of the client's needs across domains. This interdisciplinary input from nurses, physicians, social workers ensures comprehensive care, like noting spiritual distress alongside physical issues. Limiting to specific roles misses diverse perspectives, a strength of this system in nursing documentation.
Question 3 of 5
The skin produces and absorbs which of the following vitamins in conjunction with the ultraviolet rays of the Sun, which activate this particular vitamin's precursor present in the skin?
Correct Answer: A
Rationale: Skin produces and absorbs vitamin D via UV rays activating its precursor, unlike C, E, or K. Nurses teach this for bone health awareness.
Question 4 of 5
Which of the following people have the largest percentage of water in their bodies?
Correct Answer: B
Rationale: Lean men have the highest water percentage, around 60-65%, due to less fat, unlike fat men, women, or fat women. Nurses apply this in fluid assessments.
Question 5 of 5
Which assessment finding indicates a potential cardiovascular complication of immobility?
Correct Answer: C
Rationale: Dependent edema swelling in lower body parts points to a cardiovascular complication of immobility, arising from poor venous return and fluid buildup due to stasis. Heart rate or cardiac output increases aren't specific to this, and normal blood pressure doesn't flag issues. Nurses check for this to detect circulatory problems early, applying measures like elevation or compression to reduce risks like thrombosis, vital in managing immobility's cardiovascular effects.