ATI LPN
ATI LPN Fundamentals Exam IV Questions
Extract:
Question 1 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 2 of 5
For the client with obstructive sleep apnea (OSA), the nurse should expect the following findings:
Correct Answer: A
Rationale: Decreased energy results from disrupted sleep and oxygenation issues in OSA, making it a common expected finding.
Question 3 of 5
A nurse is caring for a client who reports a state of increasing anxiety and the inability to sleep and concentrate. Which of the following is an appropriate response by the nurse?
Correct Answer: A
Rationale: This empathetic response acknowledges the client's feelings, builds rapport, and encourages further discussion, making it the most therapeutic option.
Question 4 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 5 of 5
A nurse is caring for a client who is postoperative. Which of the following actions should the nurse take to help prevent an incisional infection?
Correct Answer: B
Rationale: Hand hygiene before dressing changes is a key measure to prevent introducing pathogens to the incision site.