ATI Fundamentals Proctored Exam LPN

ATI Fundamentals Proctored Exam LPN Related

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A patient develops red eyes 2 days after an episode of malaria probable cause is:

  • A. Conjunctivitis
  • B. Anterior uveitis
  • C. Viral keratitis
  • D. Endophthalmitis
Correct Answer: B

Rationale: Red eyes post-malaria suggest an ocular complication. Conjunctivitis (choice A) causes redness but isn't typically linked to malaria unless secondary infection occurs. Anterior uveitis (choice B), inflammation of the iris and ciliary body, is a rare but documented malaria sequel, possibly from immune response or parasite-related damage, presenting with redness, pain, and photophobia. Viral keratitis (choice C) affects the cornea and is unrelated to malaria. Endophthalmitis (choice D), a severe intraocular infection, is unlikely without trauma or surgery. B is correct, as anterior uveitis aligns with malaria's systemic inflammatory effects. Nurses should assess eye symptoms, refer to ophthalmology, and manage pain, preventing vision loss in such cases.

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Which of the following statement best describes palliative care?

  • A. Care given to terminally ill client
  • B. Care that aims to relieve symptoms rather than cure
  • C. Care that requires high technological skills
  • D. Hospice care and Palliative care is the same
Correct Answer: B

Rationale: Palliative care relieves symptoms without curing (B), per WHO definition focusing on quality of life. It's for serious illness, not just terminal (A), doesn't need high tech (C), and differs from hospice (D) palliative spans broader stages. B best captures its symptom-focused essence, making it the correct description.

Provides a concise method of organizing and recording data about the client. It is a series of flip cards kept in portable file used in change of shift reports.

  • A. Kardex
  • B. Progress Notes
  • C. SOAPIE
  • D. Change of shift report
Correct Answer: A

Rationale: Kardex (A) is a concise, card-based system for shift reports, per nursing practice. Progress notes (B) detail chronologically, SOAPIE (C) structures per problem, shift reports (D) are verbal. A fits the portable file description, making it correct.

Which of the following do not correctly correlates the increase BP of Ms. Aida, a 70 year old diabetic?

  • A. Females, after the age 65 tends to have lower BP than males
  • B. Disease process like Diabetes increase BP
  • C. BP is highest in the morning, and lowest during the night
  • D. Africans, have a greater risk of hypertension than Caucasian and Asians.
Correct Answer: A

Rationale: Females over 65 often have higher BP e.g., post-menopause than males, not lower, contradicting Aida's rise. Diabetes (vessel damage), morning peaks (circadian), and African risk (genetics) align. Nurses note this e.g., in elderly diabetics for accurate hypertension management.

Which of the following statement is TRUE about patient safety?

  • A. Only about medication
  • B. Prevents harm in care
  • C. Not a nursing concern
  • D. All of the above
Correct Answer: B

Rationale: Patient safety prevents harm in care (B), per standards e.g., fall prevention. Not just meds (A), is nursing concern (C), not all (D) broad focus. B truly defines safety's aim, making it correct.

The researcher must critically appraise evidence following a literature review. Which questions should the researcher pose in this appraisal?

  • A. How many studies were found during the review?'
  • B. What were the results of each study?'
  • C. Are the results of each study valid and reliable?'
  • D. Will the results of each study improve client care?'
Correct Answer: C

Rationale: Critical appraisal in nursing research evaluates evidence quality and relevance post-literature review, ensuring findings guide practice effectively. Asking 'What were the results of each study?' identifies outcomes like reduced infection rates while 'Are the results valid and reliable?' assesses methodological rigor, checking biases or sample issues. 'Will the results improve client care?' gauges practical impact, linking evidence to real-world benefits. 'How many studies were found?' or 'Where were they conducted?' provide context but don't appraise quality. This process filters robust evidence like a study on hand hygiene reducing infections ensuring nurses apply trustworthy, applicable insights. It's a gatekeeper, preventing flawed data from skewing care, and aligns research with nursing's goal of enhancing patient outcomes through science, not just volume or geography.

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