ATI LPN
ATI LPN Funsamentals Exam V Questions
Extract:
Terminally ill patient with Cheyne-Stokes breathing
Question 1 of 5
A patient who is terminally ill is described during shift report as having Cheyne-Stokes breathing. On assessment, the nurse anticipates finding:
Correct Answer: C
Rationale: Cheyne-Stokes involves dyspnea then apnea (
C), common in terminal illness. Decreasing rate (
A), wheezing (
B), and shallow breaths (
D) don’t match.
Extract:
Patient with cardiac disease history, radial pulse 102 beats/min and irregular
Question 2 of 5
A nurse is caring for a patient with a cardiac disease history. When measuring vital signs, the nurse finds that the radial pulse is 102 beats/min and irregular. The nurse correctly:
Correct Answer: A
Rationale: Apical pulse for 1 minute (
A) ensures accuracy with irregularity. Recording (
B) skips validation, and wrist checks (C,
D) are less precise.
Extract:
Patient assessed with Glasgow Coma Scale, opens eyes spontaneously, obeys commands, oriented
Question 3 of 5
The nurse who is assessing the patient with the Glasgow Coma Scale finds a patient who can open his eyes spontaneously, obeys all commands, and is oriented. The nurse documents a score of
Correct Answer: D
Rationale: A score of 15 (
D) reflects full consciousness (eye opening: 4, verbal: 5, motor: 6). Lower scores (A, B,
C) indicate impairment.
Extract:
Question 4 of 5
The nurse explains to a patient that the pulse oximeter can measure the arterial oxygen by:
Correct Answer: A
Rationale: Pulse oximeters measure oxygenated hemoglobin (
A) via light absorption. Blood volume (
B), skin warmth (
C), and respirations (
D) are not measured.
Extract:
Patient admitted with possible head trauma after motor vehicle accident
Question 5 of 5
A patient was admitted with possible head trauma after a motor vehicle accident. The nursing implementation with the highest priority is to:
Correct Answer: B
Rationale: Verbal and motor responses (
B) assess neurological status, critical in head trauma. Lung sounds (
A), weight (
C), and I/O (
D) are less urgent.