ATI LPN
ATI LPN Funsamentals Exam V Questions
Extract:
Patient’s blood pressure measures 146/92 on left arm and 138/84 on right arm
Question 1 of 5
If a patient's blood pressure measures 146/92 on the left arm and 138/84 on the right arm, what would you do?
Correct Answer: C
Rationale: Retaking both arms (
C) verifies accuracy and checks discrepancies. Waiting (
A) delays confirmation, recording (
B) skips validation, and left-only retake (
D) misses bilateral data.
Extract:
Patient admitted with possible head trauma after motor vehicle accident
Question 2 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.
Extract:
Newly admitted patient with blood pressure 170/90 mm Hg, pulse 80 beats/min, respirations 16 breaths/min
Question 3 of 5
The nurse documents vital signs on a newly admitted patient as: 'blood pressure is 170/90 mm Hg, the pulse is 80 beats/min, and the respirations are 16 breaths/min.' The nurse would record the pulse pressure as:
Correct Answer: B
Rationale: Pulse pressure is systolic minus diastolic: 170 - 90 = 80 mm Hg (
B). Other options (A, C,
D) miscalculate the difference.
Extract:
Patient with possible head injury
Question 4 of 5
A nurse is instructing a nursing student on performing pupillary checks on a patient with a possible head injury. Which statement indicates that the nursing student understands the concept?
Correct Answer: A
Rationale: Pupil constriction to light (
A) indicates normal nerve function. Sluggish reaction (
B), dilation (
C), or room lights (
D) suggest misunderstanding or incorrect technique.
Extract:
86-year-old patient experiencing orthostatic hypotension
Question 5 of 5
The nurse assesses that the 86-year-old patient is experiencing orthostatic hypotension when assessments indicate: (Select all that apply.)
Correct Answer: A,B,C,D
Rationale: Orthostatic hypotension includes BP drop (
A), dizziness (
B), blurred vision (
C), and syncope (
D) due to reduced cerebral perfusion.