ATI LPN
ATI LPN Fundamentals Exam IV Questions
Extract:
Question 1 of 5
A nurse is applying a cold compress for pain and minor swelling for a client who has a sutured laceration on the forearm. Which of the following data-collection activities should the nurse use to determine whether the treatment is effective?
Correct Answer: C
Rationale: Asking the client to rate pain directly assesses the subjective effectiveness of the cold compress for pain relief.
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 nurse is collecting data about a client's circulatory system. Which of the following pulse sites should the nurse avoid checking bilaterally at the same time?
Correct Answer: A
Rationale: Checking both carotid pulses simultaneously can restrict brain blood flow and stimulate the vagus nerve, posing a risk.
Question 4 of 5
A nurse is reinforcing teaching with a group of assistive personnel (AP) about hand hygiene. Which of the following statements by an AP should the nurse identify as an indication that the AP requires further teaching?
Correct Answer: C
Rationale: Changing gloves is not a substitute for hand hygiene; washing hands before and after glove use is essential to prevent pathogen transmission, indicating a need for further teaching.
Question 5 of 5
A nurse has accidentally punctured his finger with a needle he used to give an IM injection to a client. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Washing with soap and water immediately cleanses the site, reducing infection risk, and is the recommended first step.