ATI LPN
ATI LPN Funsamentals Exam V Questions
Extract:
Patient with possible head injury
Question 1 of 5
A nurse is instructing a nursing student on performing pupillary checks on a patient with a possible head injury. Which statement indicates that the nursing student understands the concept?
Correct Answer: A
Rationale: Pupil constriction to light (
A) indicates normal nerve function. Sluggish reaction (
B), dilation (
C), or room lights (
D) suggest misunderstanding or incorrect technique.
Extract:
Patient receiving opiate-based medication for pain
Question 2 of 5
A patient is receiving an opiate-based medication to help manage pain. Which assessment has the highest priority when monitoring his condition?
Correct Answer: D
Rationale: Respirations (
D) are critical due to opiate-related respiratory depression risk. Temperature (
A), pulse (
B), and blood pressure (
C) are secondary.
Extract:
Question 3 of 5
When a fever begins to come down, the patient is in a state of
Correct Answer: D
Rationale: Defervescence (
D) is fever reduction. Hyperthermia (
A) is high temperature, pyrexia (
B) is fever, and hypothermia (
C) is low temperature.
Extract:
Patient had abnormal heart sounds during night shift
Question 4 of 5
The nurse is informed that a patient had abnormal heart sounds during the night shift. When auscultating abnormal heart sounds, the nurse knows to listen to heart sounds with the:
Correct Answer: B
Rationale: The diaphragm on skin (
B) detects high-pitched abnormal sounds. Bell (A,
D) is for low-pitched, and gown (
C) causes interference.
Extract:
Question 5 of 5
The nurse anticipates that if the stroke volume of a patient is reduced, the pulse will be:
Correct Answer: D
Rationale: Reduced stroke volume weakens pulse (
D) due to less blood per beat. Stronger (
A), bradycardic (
B), or irregular (
C) pulses have other causes.