ATI Fundamentals Proctored Exam LPN

ATI Fundamentals Proctored Exam LPN Related

Review ATI Fundamentals Proctored Exam LPN related questions and content

An infant is born precipitously outside the labor room. What should the nurse do first?

  • A. Tie and cut the umbilical cord
  • B. Establish an airway for the newborn
  • C. Ascertain the condition of the uterine fundus
  • D. Arrange transport for the mother and infant to the birthing unit
Correct Answer: B

Rationale: Precipitous birth outside controlled settings demands urgent action. Tying/cutting the cord (choice A) is secondary; delay poses no immediate risk unless bleeding occurs. Establishing an airway (choice B) is first, as newborns must breathe independently clearing mucus or stimulating crying ensures oxygenation, critical within the golden minute. Checking the fundus (choice C) assesses maternal bleeding, a later priority. Transport (choice D) follows stabilization. B is correct, per neonatal resuscitation guidelines. Nurses clear airways, warm the infant, and then address cord and maternal needs, ensuring survival.

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Which of the following statement best describe fidelity in nursing?

  • A. Telling the truth
  • B. Keeping promises
  • C. Doing good
  • D. Avoiding harm
Correct Answer: B

Rationale: Fidelity in nursing is keeping promises (B), per ethics e.g., returning as pledged. Telling truth (A) is veracity, doing good (C) beneficence, avoiding harm (D) nonmaleficence not promise-focused. B best defines fidelity's commitment to trust, a cornerstone of nurse-patient relationships, making it the correct description.

The absence of which pulse may not be a significant finding when a patient is admitted to the hospital?

  • A. Apical
  • B. Radial
  • C. Pedal
  • D. Femoral
Correct Answer: C

Rationale: Pedal pulse absence is normal in 10-20% of people and less critical initially.

The LPN is preparing to administer an injection of vitamin K to the newborn. The nurse should administer the injection in the:

  • A. Rectus femoris muscle
  • B. Vastus lateralis muscle
  • C. Deltoid muscle
  • D. Dorsogluteal muscle
Correct Answer: B

Rationale: The vastus lateralis muscle is the preferred site for vitamin K injection in newborns, offering a large, safe muscle mass away from nerves and vessels, standard for intramuscular prophylaxis against hemorrhagic disease. Rectus femoris is smaller, deltoid underdeveloped, and dorsogluteal risky near sciatic nerve. Nurses use this site for efficacy and safety, teaching parents its purpose in clotting support.

A client with chronic obstructive pulmonary disease (COPD) presents with severe dyspnea and hypoxemia. What is the appropriate indication for initiating oxygen therapy in this client?

  • A. Maintaining oxygen saturation above 95%
  • B. Correcting underlying lung pathology
  • C. Relieving shortness of breath
  • D. Preventing complications of hypoxia
Correct Answer: D

Rationale: Preventing complications of hypoxia (D) is the primary indication for oxygen therapy in COPD with severe dyspnea and hypoxemia, averting tissue damage and organ failure (target SpO2 88-92%). Saturation above 95% (A) risks CO2 retention in COPD. Correcting pathology (B) requires other treatments. Relieving dyspnea (C) is a benefit, not the goal. Hypoxia prevention aligns with GOLD guidelines, prioritizing survival and function over symptom relief alone.

The nurse asked an aide to check Mr. Gary's vitals. This is an example of?

  • A. Delegation
  • B. Responsibility
  • C. Malpractice
  • D. Health policy
Correct Answer: A

Rationale: Asking an aide for vitals is delegation (A) task assignment, per definition. Responsibility (B) duty, malpractice (C) breach, policy (D) rules not delegation-specific. A fits the nurse's supervised task for Mr. Gary, making it correct.

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