ATI LPN
ATI LPN Funsamentals Exam V Questions
Extract:
Patient assessed with Glasgow Coma Scale, opens eyes spontaneously, obeys commands, oriented
Question 1 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 2 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.
Question 3 of 5
When educating a patient about the warning signs of cancer, the nurse includes which of the following? (Select all that apply.)
Correct Answer: A,B,D
Rationale: Persistent cough (
A), swallowing difficulty (
B), and mole changes (
D) signal cancer. Pulse rate (
C), breath sounds (E), and bowel sounds (F) are unrelated.
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
When a fever begins to come down, the patient is in a state of
Correct Answer: D
Rationale: Defervescence (
D) is fever reduction. Hyperthermia (
A) is high temperature, pyrexia (
B) is fever, and hypothermia (
C) is low temperature.