ATI Fundamentals Proctored Exam LPN

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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.

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The physician has ordered a 2-gram sodium diet for a client with hypertension. Which food should be limited due to its sodium content?

  • A. Potato chips
  • B. Baked chicken
  • C. Steamed broccoli
  • D. Fresh apple
Correct Answer: A

Rationale: Potato chips are high in sodium often 120-180 mg per ounce exceeding a 2-gram (2000 mg) daily limit for hypertension, necessitating restriction to control blood pressure. Baked chicken, steamed broccoli, and fresh apples have minimal natural sodium, fitting the diet. Nurses educate clients on hidden sodium in processed snacks, promoting fresh alternatives to reduce cardiovascular strain, aligning with therapeutic goals for long-term health management.

The nurse is caring for a client with a suspected myocardial infarction. Which laboratory value is most specific for confirming the diagnosis?

  • A. Troponin I
  • B. Creatine kinase (CK)
  • C. Myoglobin
  • D. Lactic dehydrogenase (LDH)
Correct Answer: A

Rationale: Troponin I is the most specific marker for myocardial infarction, rising within hours and staying elevated for days CK and myoglobin are less specific, LDH is outdated. Nurses monitor this, correlating with ECG and symptoms, aiding rapid diagnosis and treatment.

When an LVN/LPN is working for a health-care organization that has professional liability insurance, the nurse needs to base a decision on whether to buy individual professional liability insurance on which of the following things?

  • A. the possibility that the organization could countersue the nurse in a lawsuit
  • B. the cost of professional liability insurance to the nurse
  • C. the amount and type of coverage the health-care organization carries
  • D. the number of hours worked and the type of nursing work
Correct Answer: A

Rationale: Deciding whether to purchase individual professional liability insurance as an LVN/LPN involves weighing personal risk, and the possibility of the organization countersuing the nurse in a lawsuit is a critical factor. Organizational insurance typically covers nurses acting within their scope, but if a lawsuit arises and the organization's interests diverge such as alleging nurse negligence they might countersue to deflect liability. Individual insurance provides independent protection, ensuring legal defense and coverage tailored to the nurse's needs. Cost, organizational coverage, and work hours are relevant but secondary; cost affects feasibility, coverage might leave gaps, and hours or work type influence risk but don't address the specific threat of a countersuit. This choice emphasizes proactive self-protection in a litigious environment, safeguarding the nurse's career and finances.

One of the expectations is for nurses to join professional association primarily because of

  • A. Promotes advancement and professional growth among its members
  • B. Works for raising funds for nurse's benefit
  • C. Facilitate and establishes acquaintances
  • D. Assist them and securing jobs abroad
Correct Answer: A

Rationale: Professional associations, like the PNA, promote growth e.g., offering training, certifications enhancing skills and standards. Fundraising, networking, or job placement are secondary. This advancement focus, rooted in nursing's professionalization, ensures competence and leadership, critical for career development and patient care quality.

Which of the following statement best describe incident reporting?

  • A. Hiding errors
  • B. Reporting adverse events
  • C. A patient task
  • D. A routine check
Correct Answer: B

Rationale: Incident reporting is reporting adverse events (B), per nursing e.g., falls logged. Not hiding (A), not task (C), not routine (D) safety-focused. B best defines its role, improving Mr. Gary's care safety, making it correct.

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