ATI Fundamentals Proctored Exam LPN

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Roger has been seen agitated, shouting and running. As Nurse Aida approaches, he shouts and swear, calling Aida names. Nurse Aida told Roger 'That is an unacceptable behavior Roger, Stop and go to your room now.' The situation is most likely in what phase of NPR?

  • A. Pre Orientation
  • B. Orientation
  • C. Working
  • D. Termination
Correct Answer: C

Rationale: This scenario fits the Working phase (C). Roger's agitation and Aida's response setting boundaries suggest an established relationship where interventions address behaviors. Pre-Orientation (A) is pre-contact, Orientation (B) builds trust, not confrontation, and Termination (D) ends care. In Peplau's Working phase, the nurse actively helps the client manage issues, as Aida does here, making C the likely phase.

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The physician orders a platelet count to be performed on Mrs. Smith after breakfast. The nurse is responsible for:

  • A. Instructing the patient about this diagnostic test
  • B. Writing the order for this test
  • C. Giving the patient breakfast
  • D. All of the above
Correct Answer: C

Rationale: The nurse ensures the patient eats, while the physician handles test orders and instructions.

He was called the father of sanitation.

  • A. Abraham
  • B. Hippocrates
  • C. Moses
  • D. Willam Halstead
Correct Answer: C

Rationale: Moses, in ancient Hebrew texts, set sanitation laws e.g., waste disposal, quarantine earning the 'father of sanitation' title. Abraham (patriarch), Hippocrates (medicine), and Halstead (surgery) differ. His Leviticus codes predate modern hygiene, influencing public health and nursing's infection control foundations.

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.

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.

Who was the first president of the PNA?

  • A. Rosario Delgado
  • B. Anastacia Giron Tupas
  • C. Julita Sotejo
  • D. Loreto Tupas
Correct Answer: A

Rationale: Rosario Delgado, PNA's first president in 1922, led its founding e.g., pushing licensure exams. Giron-Tupas (founder), Sotejo (educator), and Tupas differ. Her role established nursing's professional voice in the Philippines, a foundational step in its organizational history.

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