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 needs to take the temperature of a patient who had a cardiac arrest. Which route will the nurse use?
Correct Answer: C
Rationale: Post-cardiac arrest, tympanic (
C) provides a quick, non-invasive core temperature estimate, critical for monitoring hypothermia or hyperthermia in resuscitation. Oral (
A) risks inaccuracy post-arrest. Rectal (
B) is invasive and slow. Temporal (
D) is less reliable in emergencies.
Choice C is correct, aligning with ACLS emphasis on rapid, safe temperature assessment.
Question 2 of 5
The nurse is caring for an infant and is obtaining the patient's vital signs. Which artery will the nurse use to best obtain the infant's pulse?
Correct Answer: B
Rationale: In infants, the brachial artery (
B) is preferred for pulse due to accessibility and strength; radial (
A) is weak and hard to palpate. Femoral (
C) and popliteal (
D) are less practical.
Choice B is correct, per pediatric norms, ensuring accurate infant pulse assessment.
Question 3 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 4 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 5 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.