ATI LPN
ATI LPN Fundamentals Exam IV Questions
Extract:
Question 1 of 5
A nurse is reinforcing teaching with a newly licensed nurse about documenting vital signs. Which of the following documentation made by the nurse indicates an understanding of the teaching?
Correct Answer: A
Rationale: Documenting pulse with position shows understanding, as position affects readings, unlike the other options lacking context.
Question 2 of 5
A nurse is assisting with the admission of a client who has meningococcal pneumonia. Which of the following isolation precautions should the nurse initiate?
Correct Answer: D
Rationale: Meningococcal pneumonia spreads via respiratory droplets, requiring droplet precautions to prevent transmission.
Question 3 of 5
A nurse is caring for a client who has pneumonia. The client's oxygen saturation is 88%. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Raising the head of the bed is the immediate action to improve chest expansion, lung aeration, and breathing, addressing the low oxygen saturation of 88% most effectively as the first step.
Question 4 of 5
A nurse is caring for a group of clients. For which of the following tasks should the nurse plan to wear protective eye equipment?
Correct Answer: C
Rationale: Suctioning a tracheostomy tube carries a high risk of forceful secretion expulsion, necessitating eye protection to prevent mucous membrane exposure.
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.