ATI LPN
ATI LPN Funsamentals Exam V Questions
Extract:
Question 1 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.
Question 2 of 5
The nurse taking a blood pressure should:
Correct Answer: C
Rationale: Feet flat on the floor (
C) stabilizes posture for accurate readings. Waist level (
A) or shoulder level (
D) alters pressure, and chatting (
B) may distract from auscultation.
Extract:
Patient with hypothermia
Question 3 of 5
The home health nurse is instructing a caregiver about caring for a patient with hypothermia. The nurse recognizes that further instruction when the caregiver states, 'I will
Correct Answer: C
Rationale: Increasing muscle activity (
C) risks vasoconstriction, worsening hypothermia. Bed rest (
A), blankets (
B), and fluids (
D) are appropriate.
Extract:
Question 4 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:
Patient assessed with Glasgow Coma Scale, opens eyes spontaneously, obeys commands, oriented
Question 5 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.