ATI LPN
Fundamentals of Nursing: The Art and Science of Person-Centered Care Tenth, North American Edition
Chapter 29 : Complementary and Integrative Health Questions
Question 1 of 5
The nurse is caring for a newborn infant in the hospital nursery and notices that the infant is breathing rapidly but is pink, warm, and dry. Which normal respiratory rate will the nurse consider when planning care for this newborn?
Correct Answer: A
Rationale: Newborn respiratory rate is 30-60 breaths/min; rapid breathing within this (
A) is normal if pink, warm, dry. Lower ranges (B, C,
D) apply to older ages.
Choice A is correct, per neonatal norms, guiding care planning.
Question 2 of 5
The nurse is preparing to assess the blood pressure of a 3 year old. How should the nurse proceed?
Correct Answer: D
Rationale: For a 3-year-old, explaining the procedure (
D) reduces anxiety, improving cooperation. Diaphragm (
A) is less effective than the bell for Korotkoff sounds. Pre-settling (
B) risks agitation. Child cuff (
C) is correct but secondary.
Choice D is correct, per pediatric nursing communication strategies.
Question 3 of 5
A nurse is caring for a group of patients. Which patient will the nurse see first?
Correct Answer: A
Rationale: An infant with pulse 165 and respirations 54 (
A) is borderline high (normal 120-160, 30-60), plus crying suggests distress, warranting priority.
Toddler (
B), adolescent (
C), and adult (
D) values are normal for context.
Choice A is correct, per triage prioritizing potential instability.
Question 4 of 5
The patient wants to monitor blood pressure at home and asks the nurse's advice about how to purchase a portable electronic blood pressure device. Which other information will the nurse share with the patient?
Correct Answer: B
Rationale: Portable BP devices require recalibration (
B) for accuracy, a key teaching point. Random cuff placement (
A) or arm movement (
C) skews readings. Stethoscopes (
D) aren't needed for electronic devices.
Choice B is correct, ensuring reliable home monitoring per nursing education.
Question 5 of 5
The nurse is caring for a patient who reports feeling light-headed and 'woozy.' The nurse checks the patient's pulse and finds that it is irregular. The patient's blood pressure is 100/72. It was 113/80 an hour earlier. What should the nurse do?
Correct Answer: B
Rationale: Light-headedness, irregular pulse, and a BP drop (100/72 from 113/80) suggest instability (e.g., arrhythmia). Notifying the provider (
B) ensures prompt evaluation. More pressure (
A) won't clarify irregularity. Dismissing symptoms (
C) or delaying (
D) risks deterioration.
Choice B is correct, per nursing escalation protocols.