ATI LPN
ATI LPN Fundamentals Exam IV Questions
Extract:
Question 1 of 5
A nurse in a pediatric unit is planning care for a group of clients. Which of the following clients should the nurse plan to use the Crying, Requires oxygen, Increased vital signs, Expression, Sleeplessness (CRIES) pain scale?
Correct Answer: D
Rationale: The CRIES scale is designed for neonates like a 4-day-old infant, assessing pain through observable behaviors.
Question 2 of 5
A nurse is caring for a client who has a wound infection that contains vancomycin-resistant Enterococcus (VRE). Which of the following types of precautions should the nurse plan to take while caring for this client?
Correct Answer: D
Rationale: VRE requires contact precautions due to its spread via contaminated surfaces or hands, not airborne transmission.
Question 3 of 5
A nurse is caring for a client who has a wound infection that contains vancomycin-resistant Enterococcus (VRE). Which of the following types of precautions should the nurse plan to take while caring for this client?
Correct Answer: D
Rationale: Contact precautions are required for VRE, which spreads through contact with contaminated surfaces or hands, not through air or droplets.
Question 4 of 5
A nurse is collecting data from a client who has insomnia. The nurse should identify that which of the following is likely to disrupt sleep?
Correct Answer: C
Rationale: Alcohol consumption before bedtime disrupts sleep quality and causes awakenings, making it the most likely factor to negatively affect sleep.
Question 5 of 5
A nurse is caring for a group of clients on an infectious disease unit. The nurse should wear an N95 respirator when caring for a client who has which of the following disorders?
Correct Answer: B
Rationale: Tuberculosis requires an N95 respirator due to its airborne transmission, unlike the other conditions.