ATI Fundamentals LPN

ATI Fundamentals LPN Related

Review ATI Fundamentals LPN related questions and content

The client you are assigned to has four nursing diagnoses. Which of the following would you assign the highest priority?

  • A. chest pain related to cough secondary to pneumonia
  • B. self-care deficit related to activity intolerance secondary to sleep-pattern disturbance
  • C. risk for altered family processes secondary to hospitalization
  • D. self-esteem deficit situational
Correct Answer: A

Rationale: Among four diagnoses, chest pain related to pneumonia takes highest priority because it addresses a physiologic need breathing and circulation per Maslow's hierarchy. Pain and potential respiratory compromise threaten survival, requiring immediate intervention like medication or oxygen. Self-care deficits, family process risks, and self-esteem issues, while important, are less urgent, impacting higher-level needs like independence or esteem. Prioritizing chest pain ensures the client's airway and oxygenation are stabilized, preventing deterioration, a fundamental principle in acute care nursing.

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The nurse uses the Glasgow Coma Scale to assess a client with a head injury. Which Glasgow Coma Scale score indicates that the client is in a coma?

  • A. 6
  • B. 9
  • C. 12
  • D. 15
Correct Answer: A

Rationale: A Glasgow Coma Scale (GCS) score of 6 (A) indicates coma, defined as ≤8, reflecting minimal responsiveness (eye, verbal, motor). Scores of 9 (B) and 12 (C) suggest moderate injury. 15 (D) is normal. A is correct. Rationale: GCS ≤8 signifies severe brain dysfunction, often requiring intubation, a standard threshold in neurocritical care for coma classification and management.

The nurse gave the wrong medication to Mr. Gary that lead to his cardiac arrest. This is an example of?

  • A. Malpractice
  • B. Negligence
  • C. Assault
  • D. Battery
Correct Answer: A

Rationale: Wrong medication causing cardiac arrest is malpractice (A) breach of nursing standards, per tort law. Negligence (B) is broader, assault (C) intent-based, battery (D) touch-based. A's professional error fits, making it correct.

Becky has been NPO since midnight in preparation for a blood test. The adreno-cortical response is activated. Which of the following is an expected response?

  • A. Low blood pressure
  • B. Warm, dry skin
  • C. Decreased serum sodium levels
  • D. Decreased urine output
Correct Answer: D

Rationale: The adrenocortical response, triggered by fasting (NPO status), activates stress hormones like cortisol and aldosterone, conserving resources during deprivation. Decreased urine output results from aldosterone's promotion of sodium and water reabsorption in the kidneys, maintaining fluid volume and blood pressure. This adaptation counters the stress of fasting, ensuring homeostasis. Low blood pressure would oppose this, as the response aims to stabilize circulation, not reduce it. Warm, dry skin isn't typical; stress might cause cool, clammy skin from vasoconstriction, but fasting alone doesn't dictate this. Decreased serum sodium levels contradict aldosterone's sodium-retaining effect, which elevates or stabilizes sodium. Decreased urine output aligns with the body's conservation mechanism, making it the expected physiological response in this scenario, critical for nurses to recognize during patient monitoring.

The nurse ensured Mr. Gary's meds were given on time. This is an example of?

  • A. Responsibility
  • B. Accountability
  • C. Health literacy
  • D. Care coordination
Correct Answer: A

Rationale: Ensuring timely meds is responsibility (A) task duty, per definition. Accountability (B) answerability, literacy (C) understanding, coordination (D) organization not task-specific. A fits the nurse's obligation to Mr. Gary, making it correct.

1 cup is equal to how many ounces?

  • A. 8
  • B. 80
  • C. 800
  • D. 8000
Correct Answer: A

Rationale: One cup is standardized as 8 fluid ounces.

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