ATI Fundamentals Proctored Exam LPN

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A client is scheduled for a computed tomography (CT) of the brain with contrast. When reviewing the client's medical record, what significant finding should the nurse report to the primary healthcare provider before the diagnostic procedure?

  • A. The client takes metformin daily.
  • B. The client has not been nothing by mouth (NPO).
  • C. The client reports an allergy to gadolinium.
  • D. The client was not prescribed a bowel prep.
Correct Answer: A

Rationale: Metformin (A) is significant before a CT with contrast due to lactic acidosis risk if renal function declines from contrast dye. NPO status (B) isn't critical for brain CT. Gadolinium (C) is MRI-related, not CT. Bowel prep (D) is irrelevant. A is correct. Rationale: Contrast can impair kidneys, exacerbating metformin toxicity, requiring provider adjustment, per radiology safety protocols.

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The master gland controls the thyroid hormone by secreting

  • A. Thyroxine
  • B. Triiodothyronine
  • C. Thyroid stimulating hormone
  • D. Calcitonin
Correct Answer: C

Rationale: The pituitary secretes TSH e.g., stimulates thyroid unlike thyroxine, T3 (thyroid products), calcitonin (calcium). Nurses understand e.g., TSH tests for regulation, per endocrine.

You are caring for a client who has just returned from surgery and has received intravenous morphine minutes before leaving the recovery room. You need to assess the client's pain now and again at which of the following times?

  • A. in 20 to 30 minutes
  • B. in one hour
  • C. in two hours
  • D. in 3 to 4 hours
Correct Answer: A

Rationale: Post-morphine pain assessment at 20-30 minutes evaluates peak effect, critical post-surgery. Later checks miss this window. Nurses time this for efficacy.

The nurse reviewed Mr. Gary's care to reduce errors. This is an example of?

  • A. Quality improvement
  • B. Patient-centered care
  • C. Nursing informatics
  • D. Health promotion
Correct Answer: A

Rationale: Reviewing care to reduce errors is quality improvement (A) enhancing processes, per definition. Patient-centered (B) tailors, informatics (C) tech, promotion (D) well-being not error-focused. A fits QI's aim, making it correct.

Which of the following statement is NOT true about legal documentation?

  • A. Supports care quality
  • B. Legal evidence
  • C. Can be altered anytime
  • D. Must be accurate
Correct Answer: C

Rationale: Legal documentation supports quality (A), is evidence (B), must be accurate (D) 'can be altered anytime' (C) isn't true, strict rules apply, per law. C's flexibility contradicts standards, like Mr. Gary's records, making it untrue.

Which of the following statement is TRUE about evaluation in nursing process?

  • A. First step of the process
  • B. Determines if goals are met
  • C. Only done once
  • D. All of the above
Correct Answer: B

Rationale: Evaluation determines if goals are met (B), per process e.g., pain reduced? Not first (A, assessment), not once (C, ongoing), not all (D) outcome-focused. B truly defines evaluation's role, making it correct.

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