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 patient whose condition is deteriorating and needs a pulse assessment. Which site should the nurse use?
Correct Answer: C
Rationale: In deteriorating patients, carotid (
C) provides a strong, accessible pulse, reliable even in low perfusion, unlike radial (
A) or brachial (
B). Popliteal (
D) is impractical.
Choice C is correct, per emergency nursing standards (e.g., AH
A), for critical pulse checks.
Question 2 of 5
The nurse needs to obtain a radial pulse from a patient. What must the nurse do to obtain a correct measurement?
Correct Answer: A
Rationale: Radial pulse is palpated with the first two fingers along the thumb side groove (
A), ensuring accuracy without thumb pressure interference. Little finger side (B,
C) is incorrect anatomically. Thumb use (C,
D) distorts readings.
Choice A is correct, per nursing technique standards, for reliable radial pulse measurement.
Question 3 of 5
The nurse needs to obtain an accurate respiratory rate from a patient who is talking with visitors. What will the nurse do?
Correct Answer: C
Rationale: Talking alters respiratory rate, so counting discreetly (
C) during conversation ensures an undisturbed baseline. Continuing talking (
A) or counting during it (
B) skews results. Waiting (
D) delays assessment.
Choice C is correct, a nursing tactic to capture natural breathing patterns accurately.
Question 4 of 5
The patient's blood pressure is 140/60. Which value will the nurse record for the pulse pressure?
Correct Answer: B
Rationale: Pulse pressure is systolic minus diastolic: 140 - 60 = 80 (
B). 60 (
A) is diastolic. 140 (
C) is systolic. 200 (
D) is unrelated.
Choice B is correct, reflecting arterial pressure dynamics, a key nursing calculation.
Question 5 of 5
The patient is being admitted to the emergency department with reports of shortness of breath. The patient has had chronic lung disease for many years but still smokes. What will the nurse do?
Correct Answer: B
Rationale: Chronic lung disease (e.g., COP
D) with smoking risks CO2 retention; cautious oxygen use (
B) prevents suppressing hypoxic drive while addressing shortness of breath. Paper bag (
A) is for hyperventilation. High oxygen (
C) risks respiratory depression. CO2 (
D) worsens hypoxia.
Choice B is correct, per respiratory nursing guidelines.