ATI LPN
ATI LPN Fundamentals Exam II Questions
Extract:
A nurse is preparing to administer vitamin K intramuscularly to a newborn
Question 1 of 5
A nurse is preparing to administer vitamin K intramuscularly to a newborn. Which of the following muscles should the nurse use for the injection?
Correct Answer: D
Rationale: The vastus lateralis muscle is the preferred site for intramuscular injections in newborns. It is the most developed muscle in this age group and is free of major nerves and blood vessels.
Question 2 of 5
A nurse is preparing to administer vitamin K intramuscularly to a newborn. Which of the following muscles should the nurse use for the injection?
Correct Answer: D
Rationale: The vastus lateralis muscle is the preferred site for intramuscular injections in newborns. It is the most developed muscle in this age group and is free of major nerves and blood vessels.
Extract:
A nurse is reinforcing home safety instructions for a patient with a history of falls
Question 3 of 5
A nurse is reinforcing home safety instructions for a patient with a history of falls. Which statement should the nurse identify as an indication that the patient understands the instructions?
Correct Answer: A
Rationale: Placing a bath seat in the shower is a good safety measure for a patient with a history of falls. It allows the patient to sit while bathing, reducing the risk of slipping and falling.
Extract:
A nurse is caring for a school-age child with respiratory failure due to pneumonia
Question 4 of 5
A nurse is caring for a school-age child with respiratory failure due to pneumonia. Which position should the nurse encourage to allow for maximal lung expansion?
Correct Answer: D
Rationale: The upright position is typically recommended for a child with respiratory failure due to pneumonia. Sitting upright can help to maximize lung expansion and improve oxygenation.
Extract:
A nurse is preparing to measure a client's oxygen saturation and notes edema of the client's hands and thickened toenails
Question 5 of 5
A nurse is preparing to measure a client's oxygen saturation and notes edema of the client's hands and thickened toenails. Where should the nurse apply the pulse oximeter probe?
Correct Answer: D
Rationale: The earlobe is a suitable alternative site for pulse oximetry if the fingers and toes are not viable options due to edema or thickened toenails. The earlobe is typically less affected by peripheral vasoconstriction.