ATI LPN
ATI Vital Signs Test 58 Questions Quizlet Questions
Question 1 of 5
The nurse is caring for a client with a chest tube following a thoracotomy. Which finding requires immediate intervention by the nurse?
Correct Answer: A
Rationale: Continuous bubbling in the water seal chamber (A) indicates an air leak, requiring immediate intervention. Fluctuation (B) is normal, 50 mL/hour drainage (C) is acceptable, and no crepitus (D) is expected.
Question 2 of 5
Which nursing actions are appropriate when caring for a client with dementia? Select one that apply..
Correct Answer: A
Rationale: Reorienting the client (A) is appropriate. Correcting the client about hallucinations (C) can cause distress and is not helpful.
Question 3 of 5
With which clients is the nurse especially vigilant in actions to prevent infection? Select one that apply..
Correct Answer: B
Rationale: Chemotherapy (B) increase infection risk due to immunosuppression or chronic illness. Fractures (A) no flu vaccine (C) and allergies (D) are lower risk.
Question 4 of 5
What is the normal pulse rate of a newborn infant?
Correct Answer: A
Rationale: The normal pulse rate for a newborn is 100-150 beats per minute as their heart rate is faster than adults due to higher metabolic demands. Options B C and D are more typical for older children or adults.
Question 5 of 5
Of all the physiological needs
Correct Answer: D
Rationale: Oxygen is the most essential need as humans can survive only minutes without it per Maslow's hierarchy. Food (A) water (B) and elimination (C) are important but less immediately critical.