ATI LPN
ATI LPN Funsamentals Exam V Questions
Extract:
Question 1 of 5
Standards of the Joint Commission state that pain is the fifth vital sign and should be documented by assessments of: (Select all that apply.)
Correct Answer: A,B,C,D,E
Rationale: Pain assessment includes frequency (
A), duration (
B), location (
C), character (
D), and intensity (E) for comprehensive management.
Extract:
Older adult patients with hypertension
Question 2 of 5
Older adult patients with hypertension may have an auscultatory gap in their Korotkoff sounds. It is important when taking their blood pressure measurement to:
Correct Answer: D
Rationale: Listening until fully deflated (
D) captures all Korotkoff sounds, avoiding missing the gap. Over-pumping (
A), stopping midway (
B), or bell placement (
C) risks inaccurate readings.
Extract:
Question 3 of 5
The nurse anticipates that if the stroke volume of a patient is reduced, the pulse will be:
Correct Answer: D
Rationale: Reduced stroke volume weakens pulse (
D) due to less blood per beat. Stronger (
A), bradycardic (
B), or irregular (
C) pulses have other causes.
Extract:
Older adult patient with orthostatic hypotension
Question 4 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 5 of 5
The nurse would record a pulse as bradycardic if the rate were:
Correct Answer: B
Rationale: Bradycardia is <60 beats/min, so 59 beats/min (
B) qualifies. 62 (
A), 64 (
C), and 60 (
D) are within or above normal range.