ATI LPN
ATI LPN Fundamentals Exam IV Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has pneumonia. The client's oxygen saturation is 88%. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Raising the head of the bed is the immediate action to improve chest expansion, lung aeration, and breathing, addressing the low oxygen saturation of 88% most effectively as the first step.
Question 2 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.
Question 3 of 5
A nurse is reinforcing teaching with a client about healthful sleep habits. Which of the following statements should the nurse identify as an indication that the client needs further instruction?
Correct Answer: B
Rationale: Watching TV until falling asleep disrupts melatonin production due to screen light, indicating a need for further instruction on sleep hygiene.
Question 4 of 5
A nurse is reinforcing teaching about promoting rest and sleep with a client who reports insomnia. Which of the following statements should the nurse identify as an indication that the client understands the teaching?
Correct Answer: A
Rationale: Avoiding fluids before bed prevents sleep disruptions from urination, showing understanding of sleep promotion.
Question 5 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.