ATI LPN
Fundamentals of Nursing Care: Concepts, Connections & Skills
Chapter 17 Questions
Question 1 of 5
A 68-year-old African American female is admitted for hypertension. She is at risk for hypertension based on which of the following?
Correct Answer: A,B,D
Rationale: Smoking, obesity, and alcohol consumption are modifiable risk factors for hypertension.
Question 2 of 5
In which situations would it be inappropriate to delegate the vital sign assessment?
Correct Answer: B,D,E
Rationale: Vital signs require nursing assessment in unstable conditions like altered consciousness, confusion, or acute chest pain.
Question 3 of 5
Upon assessing the vital signs of a 56-year-old male, you find that he has an apical pulse of 71 bpm and a radial pulse of 62 bpm. Which of the following numbers would be correct to document as the pulse deficit?
Correct Answer: D
Rationale: Pulse deficit is the difference between apical (71) and radial (62) pulses, which is 9.
Question 4 of 5
Uncontrolled hypertension can result in permanent damage of which organs?
Correct Answer: A,D
Rationale: Hypertension damages the heart, eyes, brain, and kidneys due to increased vascular pressure.
Question 5 of 5
The nurse would refrain from taking a BP on which of the following areas?
Correct Answer: A,B,C,D
Rationale: BP measurement is contraindicated in areas with amputation, mastectomy, IV infusion, or shunts to avoid injury or inaccurate readings.