ATI LPN
ATI LPN Fundamentals Exam IV Questions
Extract:
Question 1 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 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 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.
Question 4 of 5
For the client who reports pain, the nurse should consider the following as the most reliable indicator of pain:
Correct Answer: D
Rationale: Self-report is the most reliable indicator of pain as it directly reflects the client's subjective experience, unlike other indirect measures.
Question 5 of 5
A nurse is preparing an in-service presentation about preventing healthcare-associated infections (HAIs). The nurse should include which of the following as a common cause of these infections?
Correct Answer: A
Rationale: Urinary catheterization is a common cause of HAIs, particularly catheter-associated urinary tract infections, due to the introduction of bacteria.