ATI LPN
ATI LPN Fundamentals Exam IV Questions
Extract:
Question 1 of 5
A nurse is reinforcing teaching with a client about healthful sleep habits. Which of the following statements should the nurse identify as an indication that the client needs further instruction?
Correct Answer: B
Rationale: Watching TV until falling asleep disrupts melatonin production due to screen light, indicating a need for further instruction on sleep hygiene.
Question 2 of 5
A patient has an elevated temperature. The nurse assesses the patient and finds the skin flushed and very warm. The patient is oriented to person, place, time, and situation, and expresses severe fatigue. The most appropriate nursing action at this time would be to:
Correct Answer: A
Rationale: Removing blankets facilitates cooling and offering fluids prevents dehydration, addressing the fever and fatigue effectively without risking overcooling or increasing metabolic demand.
Question 3 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 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 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.