ATI Fundamentals Proctored Exam LPN

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A nurse must possess several characteristics to be successful in this profession. Secondary to critical thinking skills, which is of great value?

  • A. Good teamwork and team-building skills
  • B. A master's degree
  • C. The ability to delegate responsibilities
  • D. Advocating for the client at all times
Correct Answer: D

Rationale: Beyond critical thinking, advocating for the client at all times is a cornerstone of nursing success, reflecting the profession's core commitment to patient welfare. This involves ensuring clients' needs, rights, and preferences are prioritized in all care decisions, fostering trust and empowerment. Good teamwork and team-building skills are valuable for collaboration but are learned and applied contextually, not as intrinsic as advocacy. A master's degree enhances expertise but isn't required for foundational success, as many nurses excel with lesser credentials. Delegation is a skill that supports efficiency, yet it's secondary to the nurse's role as a client advocate. Advocacy drives nursing's caring ethos, addressing health needs across diverse settings and populations, making it a vital characteristic that complements critical thinking in achieving optimal outcomes and upholding professional integrity.

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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.

Refers to the pressure when the ventricles are at rest

  • A. Diastole
  • B. Systole
  • C. Preload
  • D. Pulse pressure
Correct Answer: A

Rationale: Diastolic pressure is when ventricles rest e.g., 80 in 120/80 showing resistance. Systole (contraction), preload (filling), pulse pressure (difference) differ. Nurses measure this e.g., hypertension for health, per BP definitions.

What is nurse's primary critical observation when performing an assessment for determining an Apgar score?

  • A. Heart rate
  • B. Respiratory rate
  • C. Presence of meconium
  • D. Evaluation of Moro reflex
Correct Answer: A

Rationale: Apgar score assesses newborn vitality at 1 and 5 minutes post-birth across five criteria: heart rate, respiration, muscle tone, reflex, color. Heart rate (choice A) is primary; absent (<60 bpm = 0, <100 = 1, >100 = 2) dictates immediate resuscitation, making it the most critical. Respiratory rate (choice B) follows, but weak/absent breathing often ties to heart rate. Meconium (choice C) isn't scored directly, though it flags distress. Moro reflex (choice D) tests tone/reflex, secondary to vitals. A is correct, as heart rate drives initial intervention. Nurses prioritize it, ensuring rapid response to stabilize the infant.

One of the primary reasons for conducting nursing research is to:

  • A. Decrease costs associated with client care
  • B. Generate knowledge to guide practice
  • C. Allow nurses to delegate more tasks
  • D. Assist physicians in their research
Correct Answer: B

Rationale: Nursing research's primary aim is to generate knowledge to guide practice, building a scientific foundation that informs and improves care delivery. This involves studying interventions like pain management techniques or outcomes, like recovery rates, to create evidence-based guidelines that enhance safety and effectiveness. Decreasing costs, while a potential byproduct, isn't the core focus; research prioritizes quality over economics. Delegating tasks relates to workflow, not research goals, and assisting physicians, though collaborative, isn't nursing's aim its focus is autonomous advancement. This knowledge generation refines assessment, planning, and intervention, ensuring nurses address client needs with precision. For example, research on pressure ulcer prevention shapes protocols, directly impacting practice. This purpose elevates nursing as a science-driven profession, distinct from mere support roles, fostering innovation and accountability in healthcare.

Which of the following statement is TRUE about assault?

  • A. Touching the client without consent
  • B. An intentional threat
  • C. Causes physical harm
  • D. All of the above
Correct Answer: B

Rationale: Assault is an intentional threat (B), per law e.g., menacing gesture, no contact needed. Touching (A) is battery, harm (C) not required, all (D) oversteps. B truly defines assault's intent, making it correct.

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