ATI LPN
ATI LPN Fundamentals Exam IV Questions
Extract:
Question 1 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 2 of 5
A nurse is applying a cold compress for pain and minor swelling for a client who has a sutured laceration on the forearm. Which of the following data-collection activities should the nurse use to determine whether the treatment is effective?
Correct Answer: C
Rationale: Asking the client to rate pain directly assesses the subjective effectiveness of the cold compress for pain relief.
Question 3 of 5
For the client with obstructive sleep apnea (OSA), the nurse should expect the following findings:
Correct Answer: A
Rationale: Decreased energy results from disrupted sleep and oxygenation issues in OSA, making it a common expected finding.
Question 4 of 5
A nurse has accidentally punctured his finger with a needle he used to give an IM injection to a client. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Washing with soap and water immediately cleanses the site, reducing infection risk, and is the recommended first step.
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.