ATI LPN
LPN Fundamentals of Nursing
1. What is the primary purpose of the Health Insurance Portability and Accountability Act (HIPAA)?
- A. To provide health insurance coverage for all Americans.
- B. To ensure the confidentiality of health information.
- C. To reduce the cost of healthcare.
- D. To increase access to healthcare services.
Correct answer: B
Rationale: The primary purpose of the Health Insurance Portability and Accountability Act (HIPAA) is to ensure the confidentiality and security of health information. HIPAA establishes national standards to protect individuals' medical records and other personal health information. By safeguarding the privacy of health data, HIPAA aims to maintain the integrity and confidentiality of sensitive patient information, preventing unauthorized access and disclosure. This focus on privacy and security helps build trust between patients and healthcare providers, ensuring that personal health information is handled responsibly and ethically.
2. The nurse is caring for an 80-year-old client with Parkinson's disease. Which of the following nursing goals is MOST realistic and appropriate in planning care for this client?
- A. Facilitate the client in returning to usual activities of daily living
- B. Maintain optimal function within the client's limitations
- C. Assist the client in preparing for a peaceful and dignified death
- D. Delay the progression of the disease process in the client
Correct answer: B
Rationale: Maintaining optimal function within the client's limitations is the most realistic and appropriate nursing goal when caring for an 80-year-old client with Parkinson's disease. This goal focuses on maximizing the client's abilities and quality of life while acknowledging the impact of the disease. Option A is less realistic as returning to usual activities may not always be achievable in the case of Parkinson's disease. Option C is not appropriate as it does not address the client's current condition and care needs. Option D is less realistic as Parkinson's disease is progressive, and delaying its progression may not be entirely feasible.
3. Which of the following is NOT a component of Primary Health Care (PHC)?
- A. Community participation
- B. Use of appropriate technology
- C. Equitable distribution of resources
- D. Exclusive focus on curative care
Correct answer: D
Rationale: Primary Health Care (PHC) is a comprehensive approach that includes preventive, promotive, curative, and rehabilitative care. It focuses on prevention, community participation, equitable distribution of resources, and the use of appropriate technology to address health needs. Exclusively focusing on curative care goes against the holistic nature of PHC.
4. Child protective services have removed 10-year-old Christopher from his parents’ home due to neglect. Christopher reveals to the nurse that he considers the woman next door his “nice” mom, that he loves school, and gets above-average grades. The strongest explanation for this response is:
- A. Temperament
- B. Genetic factors
- C. Resilience
- D. Paradoxical effects of neglect
Correct answer: C
Rationale: Resilience is the ability to adapt well despite adversity, which is demonstrated by Christopher's positive relationships and school performance. Despite the challenging situation of being removed from his parents' home, Christopher's ability to form a positive bond with the neighbor, enjoy school, and excel academically showcases his resilience in coping with the circumstances.
5. The client has acute kidney injury (AKI). Which assessment finding requires immediate intervention?
- A. Urine output of 50 ml in the last hour.
- B. Serum potassium of 6.2 mEq/L.
- C. Blood pressure of 150/90 mm Hg.
- D. Serum creatinine of 2.5 mg/dL.
Correct answer: B
Rationale: An elevated serum potassium level of 6.2 mEq/L in a client with AKI can lead to life-threatening cardiac arrhythmias, necessitating immediate intervention. Hyperkalemia is a serious complication in AKI as impaired kidney function can result in the accumulation of potassium in the blood, posing a risk of cardiac arrest. Prompt treatment to lower potassium levels is crucial to prevent cardiac complications in this situation.
Similar Questions
Access More Features
ATI Basic
- 50,000 Questions with answers
- All ATI courses Coverage
- 30 days access @ $69.99
ATI Basic
- 50,000 Questions with answers
- All ATI courses Coverage
- 90 days access @ $149.99