ATI Fundamentals Proctored Exam LPN

ATI Fundamentals Proctored Exam LPN Related

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Which standards are monitored by the Quality and Safety Education for Nurses (QSEN)?

  • A. Evidence-based practice
  • B. Client-centered care
  • C. Informatics
  • D. Nursing certification
Correct Answer: A

Rationale: The Quality and Safety Education for Nurses (QSEN) initiative defines key competencies to ensure nurses deliver safe, high-quality care, addressing modern healthcare demands. Evidence-based practice integrates the best research with clinical expertise, guiding decisions for effective outcomes. Client-centered care prioritizes individual needs and preferences, balancing advocacy with safety. Informatics leverages technology for accurate documentation and care evaluation, enhancing efficiency. Quality improvement drives ongoing assessment and refinement of practices, while teamwork and collaboration ensure coordinated care delivery. Safety minimizes risks, a core QSEN focus. Nursing certification, though valuable, isn't a QSEN competency, as it's an individual credential, not a universal standard. These standards collectively equip nurses to improve care quality and safety across settings, reflecting a comprehensive approach to professional development and patient well-being.

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An adult client is on extreme pain. He is moaning and grimacing. What is the best way to assess the client's pain?

  • A. Perform physical assessment
  • B. Have the client rate his pain on the smiley pain rating scale
  • C. Active listening on what the patient says
  • D. Observe the client's behavior
Correct Answer: B

Rationale: Rating pain on a smiley scale (B) is best for an adult in extreme pain; it quantifies subjective experience, per pain assessment tools. Physical assessment (A) is secondary, listening (C) misses rating, observing (D) lacks precision. B captures intensity, making it correct.

While giving a shift report on your assigned client, you realize that you forgot to record a nursing procedure done on your client. Which of the following methods of documentation would be best on your part?

  • A. Write the procedure between the two lines of your shift documentation closest to the occurrence.
  • B. Find a blank space in your earlier charting, and chart the procedure in that space.
  • C. Tell the oncoming nurse to chart the procedure for you and to cite the time it was done.
  • D. Chart the current date and time and 'Late entry,' indicating when and what was done.
Correct Answer: D

Rationale: A late entry with current date, time, and details of the missed procedure is best, maintaining accuracy and legality. Inserting between lines or blank spaces risks confusion, and delegating falsifies records. This method ensures transparency, critical for nursing accountability and care continuity.

The nurse is caring for an elderly woman who has had a fractured hip repaired. In the first few days following the surgical repair, which of the following nursing measures will best facilitate the resumption of activities for this client?

  • A. Arranging for the wheelchair
  • B. Asking her family to visit
  • C. Assisting her to sit out of bed in a chair qid
  • D. Encouraging the use of an overhead trapeze
Correct Answer: D

Rationale: The trapeze promotes upper body strength and mobility, aiding recovery.

The nurse is caring for a client with a closed reduction of a fractured femur. Following the reduction, the nurse should check the client's affected extremity every 15-30 minutes for:

  • A. Warmth and redness
  • B. Color and pulses
  • C. Pain and swelling
  • D. Alignment and position
Correct Answer: B

Rationale: Checking color and pulses every 15-30 minutes post-reduction detects circulatory compromise in a fractured femur warmth, pain, or alignment are secondary. Nurses assess distal perfusion, reporting pallor or pulselessness, preventing complications like ischemia in orthopedic care.

Which of the following findings is associated with right-sided heart failure?

  • A. Shortness of breath
  • B. Nocturnal polyuria
  • C. Daytime oliguria
  • D. Crackles in the lungs
Correct Answer: B

Rationale: Nocturnal polyuria is linked to right-sided heart failure, where fluid shifts from edematous tissues to the bloodstream at night, increasing urine output as the heart struggles to pump against venous congestion. Shortness of breath and crackles typify left-sided failure, while daytime oliguria isn't specific. Nurses monitor this to assess heart function, guiding fluid management and diuretic use effectively.

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