ATI LPN
ATI LPN Fundamentals Exam IV Questions
Question 1 of 5
A nurse is caring for a client who has pneumonia. The client's oxygen saturation is 88%. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Raising the head of the bed is the immediate action to improve chest expansion, lung aeration, and breathing, addressing the low oxygen saturation of 88% most effectively as the first step.
Question 2 of 5
A client complains of an inability to sleep through the night since admission three days ago. Which of the following factors is most likely to negatively affect the patient's sleep patterns?
Correct Answer: C
Rationale: The presence of pain is a significant factor that can disrupt sleep by making it difficult to find a comfortable position and causing frequent awakenings, making it the most likely negative influence.
Question 3 of 5
A patient has an elevated temperature. The nurse assesses the patient and finds the skin flushed and very warm. The patient is oriented to person, place, time, and situation, and expresses severe fatigue. The most appropriate nursing action at this time would be to:
Correct Answer: A
Rationale: Removing blankets facilitates cooling and offering fluids prevents dehydration, addressing the fever and fatigue effectively without risking overcooling or increasing metabolic demand.
Question 4 of 5
A nurse is caring for a client who reports a state of increasing anxiety and the inability to sleep and concentrate. Which of the following is an appropriate response by the nurse?
Correct Answer: A
Rationale: This empathetic response acknowledges the client's feelings, builds rapport, and encourages further discussion, making it the most therapeutic option.
Question 5 of 5
When a nurse obtains an unusually low blood pressure measurement for a client whose blood pressure is generally elevated, she considers the possibility of a problem with her technique. Which of the following sources of error should she consider as a possible cause of the low reading?
Correct Answer: C
Rationale: Positioning the arm above heart level decreases hydrostatic pressure, leading to an inaccurately low reading, which is a common technical error to consider.