ATI LPN
ATI LPN Funsamentals Exam V Questions
Extract:
Critically ill patient with faster and deeper, then slower, respirations, followed by no breathing for 21 seconds
Question 1 of 5
A critically ill patient has faster and deeper, then slower, respirations. These are followed by a period of no breathing for 21 seconds with continuation of this cycle. This respiratory pattern is
Correct Answer: B
Rationale: Cheyne-Stokes (
B) involves cycling deep, slow, and apneic phases, common in critical illness. Kussmaul’s (
A) is rapid, Biot’s (
C) is irregular, and hyperventilation (
D) lacks apnea.
Extract:
Patient had abnormal heart sounds during night shift
Question 2 of 5
The nurse is informed that a patient had abnormal heart sounds during the night shift. When auscultating abnormal heart sounds, the nurse knows to listen to heart sounds with the:
Correct Answer: B
Rationale: The diaphragm on skin (
B) detects high-pitched abnormal sounds. Bell (A,
D) is for low-pitched, and gown (
C) causes interference.
Extract:
Question 3 of 5
The nurse taking a blood pressure should:
Correct Answer: C
Rationale: Feet flat on the floor (
C) stabilizes posture for accurate readings. Waist level (
A) or shoulder level (
D) alters pressure, and chatting (
B) may distract from auscultation.
Question 4 of 5
A nurse is checking a client's bowel sounds. At which of the following times should the nurse auscultate the client's abdomen?
Correct Answer: B
Rationale: Auscultating before percussion (
B) avoids altered sounds from manipulation. Palpation (
A), kidney checks (
C), or inspection (
D) may disrupt natural bowel sounds if done first.
Question 5 of 5
When checking extraocular movements, the nurse asks the patient to follow an object as it is moved into different positions and watch to see if
Correct Answer: A
Rationale: Coordinated eye movement (
A) assesses extraocular muscles. Pupil dilation (
B), blinking (
C), or constriction (
D) are unrelated to this test.