ATI LPN
LPN Fundamentals Exam Evolve Questions
Extract:
A nervous 18-year-old patient who has vital signs of P 120, R 30, and BP 160/90. The patient states that he feels something bad is about to happen
Question 1 of 5
The nurse is assessing a nervous 18-year-old patient who has vital signs of P 120, R 30, and BP 160/90. The patient states that he feels something bad is about to happen. Based on this data alone, how should the nurse identify the patient's level of anxiety?
Correct Answer: D
Rationale: Severe anxiety includes significant physiological responses (elevated vital signs) and a sense of impending doom.
Extract:
A 26-year-old patient who was burned 72 hours ago. The patient has partial-thickness burns to 24% of the body surface area and begins to excrete large amounts of urine
Question 2 of 5
A 26-year-old patient who was burned 72 hours ago. The patient has partial-thickness burns to 24% of the body surface area and begins to excrete large amounts of urine. Which action should the nurse take?
Correct Answer: D
Rationale: After the initial fluid resuscitation phase, large urine output may indicate that fluid is being mobilized from the tissues back into the vascular system, potentially leading to fluid overload.
Extract:
A patient concerned about confidentiality
Question 3 of 5
The patient is concerned about confidentiality and asks the nurse not to tell anyone what is said. What is the best response by the nurse?
Correct Answer: B
Rationale: This response clearly communicates the legal and ethical obligation to protect the patient and others from harm, while also acknowledging the importance of patient confidentiality in other situations.
Extract:
A patient preparing to receive electroconvulsive therapy
Question 4 of 5
A patient is preparing to receive electroconvulsive therapy. The nurse caring for this patient identifies which patient problem as the highest priority?
Correct Answer: A
Rationale: Addressing the patient's anxiety and providing information about the procedure can help reduce fear and improve cooperation.
Extract:
Question 5 of 5
Melanocytes give rise to the pigment melanin, which is responsible for skin color. Where can the melanocytes be found?
Correct Answer: C
Rationale: Melanocytes are located in the basal layer of the epidermis, where they produce melanin.