ATI LPN
ATI LPN Funsamentals Exam V Questions
Extract:
Older adult patient with orthostatic hypotension
Question 1 of 5
Because the older adult's blood vessels are nonelastic, they are prone to orthostatic hypotension. A priority intervention for a patient with orthostatic hypotension is to:
Correct Answer: A
Rationale: Sitting before standing (
A) stabilizes blood pressure. Wheelchairs (
B) limit independence, high Fowler’s (
C) may worsen it, and quick rising (
D) risks falls.
Extract:
Question 2 of 5
The nurse taking an apical pulse would place the stethoscope at:
Correct Answer: C
Rationale: The apical pulse is at the left midclavicular line, fifth intercostal space (
C). Sternum (
A), third space (
B), and nipple (
D) are incorrect.
Question 3 of 5
A nurse is checking a client's bowel sounds. At which of the following times should the nurse auscultate the client's abdomen?
Correct Answer: B
Rationale: Auscultating before percussion (
B) avoids altered sounds from manipulation. Palpation (
A), kidney checks (
C), or inspection (
D) may disrupt natural bowel sounds if done first.
Extract:
Client with family history of hypertension, blood pressure 124/84 mm Hg
Question 4 of 5
A nurse is reinforcing teaching with a client who has a family history of hypertension. The nurse should inform the client that his blood pressure reading of 124/84 mm Hg places him in which of the following categories?
Correct Answer: B
Rationale: 124/84 mm Hg is elevated blood pressure (
B) per guidelines (120-129/<80). Normal is <120/80 (
A), stage 1 is ≥130/80 (
C), stage 2 is ≥140/90 (
D).
Extract:
Question 5 of 5
If a silence is heard between sounds when auscultating blood pressure, it is termed a(n)
Correct Answer: C
Rationale: An auscultatory gap (
C) is silence between Korotkoff sounds, indicating possible arterial stiffness. Pulse deficit (
A) compares pulses, diastolic (
B) is a pressure phase, and widened pulse pressure (
D) is the systolic-diastolic difference.