ATI LPN
ATI LPN Fundamentals Exam IV Questions
Extract:
Question 1 of 5
A nurse is caring for a group of clients. For which of the following tasks should the nurse plan to wear protective eye equipment?
Correct Answer: C
Rationale: Suctioning a tracheostomy tube carries a high risk of forceful secretion expulsion, necessitating eye protection to prevent mucous membrane exposure.
Question 2 of 5
For documenting vital signs, the following documentation made by the nurse indicates an understanding of the teaching:
Correct Answer: A
Rationale: Including the pulse rate and client position demonstrates thorough documentation, as position can affect readings, showing proper understanding.
Question 3 of 5
When assessing a client's abdomen, particularly for 'stomach pain,' the nurse should:
Correct Answer: D
Rationale: Auscultation precedes palpation and percussion to avoid altering bowel sounds, ensuring an accurate initial assessment of abdominal activity.
Question 4 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 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.