ATI LPN
ATI LPN Fundamentals Exam IV Questions
Extract:
Question 1 of 5
A nurse is caring for a 6-month-old infant who is postoperative following a myringotomy. Which of the following pain assessment scales should the nurse use to determine the infant's pain level?
Correct Answer: D
Rationale: The FLACC scale assesses pain in non-verbal infants through behavior observation, suitable for a 6-month-old.
Question 2 of 5
A nurse is assisting with the admission of a client who has tuberculosis with a productive cough. Which type of isolation precautions should the nurse initiate for the client?
Correct Answer: B
Rationale: Tuberculosis with a productive cough requires airborne precautions due to transmission via small airborne particles.
Question 3 of 5
A nurse is changing the dressing on a client's wound. The nurse should recognize that which of the following findings is an indication of a wound infection?
Correct Answer: A
Rationale: Edema indicates inflammation and fluid accumulation, a common sign of wound infection, unlike the other options which relate to different conditions or normal healing.
Question 4 of 5
A nurse is checking the apical pulse of a client who is taking several cardiovascular medications. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Counting the apical pulse for a full minute ensures accuracy, especially important for clients on cardiovascular medications that may affect heart rate or rhythm.
Question 5 of 5
A nurse is caring for a 6-month-old infant who is postoperative following a myringotomy. Which of the following pain assessment scales should the nurse use to determine the infant's pain level?
Correct Answer: D
Rationale: The FLACC scale assesses pain in non-verbal infants through behavior observation, suitable for a 6-month-old.