ATI LPN
ATI LPN Fundamentals Exam IV Questions
Extract:
Question 1 of 5
For the client who reports pain, the nurse should consider the following as the most reliable indicator of pain:
Correct Answer: D
Rationale: Self-report is the most reliable indicator of pain as it directly reflects the client's subjective experience, unlike other indirect measures.
Question 2 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 3 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 4 of 5
A nurse is reinforcing teaching with an assistive personnel (AP) about using personal protective equipment (PPE) while caring for clients. Which of the following statements should the nurse identify as an indication that the AP understands the instructions?
Correct Answer: D
Rationale: Wearing gloves and a gown for bathing a client with open lesions correctly applies PPE to prevent infection transmission, showing understanding.
Question 5 of 5
A nurse is changing the dressing on a client's wound. The nurse should recognize that which of the following findings is an indication of a wound infection?
Correct Answer: A
Rationale: Edema indicates inflammation and fluid accumulation, a common sign of wound infection, unlike the other options which relate to different conditions or normal healing.