ATI Fundamentals Proctored Exam LPN

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The coronary vessels, unlike any other blood vessels in the body, respond to sympathetic stimulation by

  • A. Vasoconstriction
  • B. Vasodilatation
  • C. Decreases force of contractility
  • D. Decreases cardiac output
Correct Answer: B

Rationale: The coronary vessels are unique because they respond to sympathetic stimulation with vasodilatation, unlike most other blood vessels which constrict. Sympathetic stimulation activates the fight-or-flight response, increasing heart rate and oxygen demand. To meet this demand, the coronary arteries dilate to supply more blood to the heart muscle. Vasoconstriction (A) is incorrect as it would reduce blood flow, countering the heart's needs during stress. Decreases in force of contractility (C) or cardiac output (D) are unrelated to the vascular response and pertain more to myocardial function, not the coronary vessels' behavior. This vasodilatation is mediated by beta-adrenergic receptors, ensuring adequate perfusion during heightened activity, making B the correct choice.

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Which of the following activities on the part of the nurse most demonstrates individualization of the nursing-care plan for a client?

  • A. Include client's preferred times of care and methods used.
  • B. Write the care plan instead of taking it off the computer.
  • C. Use a care plan from a book but add some things to it.
  • D. Select nursing diagnoses that match the client's problems
Correct Answer: A

Rationale: Individualizing a care plan is best shown by including the client's preferred times and methods, tailoring care to their unique needs and lifestyle. For instance, scheduling baths when a client feels most rested respects their routine, enhancing comfort and compliance. Writing plans manually or adapting generic ones lacks this personal touch, while matching diagnoses is standard, not individualized. This approach reflects client-centered care, ensuring interventions like wound care timing fit the individual, boosting effectiveness and satisfaction.

The nurse allowed Mr. Gary to pray before his procedure as per his cultural practice. This is an example of?

  • A. Cultural imposition
  • B. Cultural competence
  • C. Cultural ignorance
  • D. Cultural bias
Correct Answer: B

Rationale: Allowing prayer per Mr. Gary's practice is cultural competence (B) respecting beliefs, per care standards. Imposition (A) forces norms, ignorance (C) neglects, bias (D) prejudges. B reflects adaptive, respectful care, ensuring his spiritual needs are met, making it correct.

One of your assigned clients gets up to go to the bathroom without calling you. The client falls to the floor and calls for help. You answer the call and alert your supervisor. After assuring that the vital signs are normal and there does not appear to be any injuries, you are told to fill out an incident report. In addition to noting that the client was found on the floor, which of the following statements would you most need to record in the nursing notes for the client?

  • A. Incident report completed.'
  • B. the reason the client was unattended
  • C. the vital signs and assessment of the client
  • D. location of the incident report
Correct Answer: C

Rationale: After a fall, recording vital signs and assessment in nursing notes is most needed, providing a clinical picture post-incident like stable pulse and no fractures for care and legal purposes. Noting the report's completion or location is administrative, and explaining absence justifies but doesn't document health status. This ensures comprehensive client-focused documentation.

Founder of the PNA

  • A. Julita Sotejo
  • B. Anastacia Giron Tupas
  • C. Eufemia Octaviano
  • D. Anesia Dionisio
Correct Answer: B

Rationale: Anastacia Giron-Tupas founded the Philippine Nurses Association in 1922, advancing Filipino nursing's professional status e.g., advocating licensure. Sotejo, Octaviano, and Dionisio contributed differently. Her leadership at PGH and PNA shaped national standards, a key historical milestone in local nursing.

A 46-year-old female with chronic constipation is assessed by the nurse for a bowel training regimen. Which factor indicates further information is needed by the nurse?

  • A. The client's dietary habits include foods high in bulk
  • B. The client's fluid intake is between 2500-3000 ml per day
  • C. The client engages in moderate exercise each day
  • D. The client's bowel habits were not discussed
Correct Answer: D

Rationale: Bowel habits are essential to tailor a training regimen; their absence indicates a gap.

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