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 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 2 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 3 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 4 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.
Question 5 of 5
A nurse is caring for a group of patients on a medical-surgical unit. Which patient will the nurse assess first?
Correct Answer: B
Rationale: A postoperative BP drop from 128/70 to 100/60 (
B) indicates potential shock or bleeding, a priority. Smoking (
A) or pain with stable BP (
C) is less urgent. Hypothermia (
D) needs attention but lacks acuity data.
Choice B is correct, per triage urgency in surgical care.