ATI LPN
ATI LPN Fundamentals Exam IV Questions
Extract:
Question 1 of 5
When a nurse obtains an unusually low blood pressure measurement for a client whose blood pressure is generally elevated, she considers the possibility of a problem with her technique. Which of the following sources of error should she consider as a possible cause of the low reading?
Correct Answer: C
Rationale: Positioning the arm above heart level decreases hydrostatic pressure, leading to an inaccurately low reading, which is a common technical error to consider.
Question 2 of 5
A nurse is checking the apical pulse of a client who is taking several cardiovascular medications. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Counting the apical pulse for a full minute ensures accuracy, especially important for clients on cardiovascular medications that may affect heart rate or rhythm.
Question 3 of 5
A nurse is collecting data from a client who has insomnia. The nurse should identify that which of the following is likely to disrupt sleep?
Correct Answer: C
Rationale: Alcohol consumption before bedtime disrupts sleep quality and causes awakenings, making it the most likely factor to negatively affect sleep.
Question 4 of 5
A nurse is reinforcing teaching with a group of assistive personnel (AP) about hand hygiene. Which of the following statements by an AP should the nurse identify as an indication that the AP requires further teaching?
Correct Answer: C
Rationale: Changing gloves is not a substitute for hand hygiene; washing hands before and after glove use is essential to prevent pathogen transmission, indicating a need for further teaching.
Question 5 of 5
A nurse caring for a client who requires isolation has just finished a care procedure. Which of the following pieces of personal protective equipment (PPE) should the nurse remove last?
Correct Answer: D
Rationale: The mask is removed last to protect the mucous membranes of the mouth and nose from infectious droplets until all other potentially contaminated PPE is removed.