ATI LPN Funsamentals Exam V

Extract:

Question 1 of 5

When examining a patient's pupils with a light, the nurse notes that both pupils constrict, regardless of which eye is stimulated by the light. The nurse should document that the pupils exhibit:

A. dilation reflex.B. brisk reflex,C. accommodation.D. consensual reflex

Correct Answer: D

Rationale: Consensual reflex (
D) is bilateral pupil constriction to light. Dilation (
A) occurs in dark, brisk (
B) describes speed, and accommodation (
C) is focus adjustment.

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:

A. pump up the cuff until no sound is heard and then let the air out.B. stop midway and begin to inflate again.C. make sure the bell of the stethoscope is placed firmly over the artery.D. continue to listen until the cuff is deflated.

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

Regarding the blood pressure in children, the diastolic pressure is assessed by the auscultation of a:

A. murmur or swishing sound that increases with depression of the cuff.B. clear tapping that gradually grows louderC. louder knocking sound that occurs with each heartbeat.D. sudden change or muffling of the sound.

Correct Answer: D

Rationale: Muffling (
D) indicates diastolic pressure in children. Murmurs (
A), tapping (
B), and knocking (
C) relate to other sounds or systolic pressure.

Question 4 of 5

The nurse explains to a patient that the pulse oximeter can measure the arterial oxygen by:

A. measuring the oxygenated hemoglobin through a capillary bed.B. assessing the amount of blood passing through the sensor.C. assessing the relative warmth of the skin on the monitored part.D. measuring the respirations to the blood pressure via infrared rays.

Correct Answer: A

Rationale: Pulse oximeters measure oxygenated hemoglobin (
A) via light absorption. Blood volume (
B), skin warmth (
C), and respirations (
D) are not measured.

Extract:

Patient with hypothermia

Question 5 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

A. instruct the patient to remain on strict bed restB. provide the patient with additional blankets'C. encourage the patient to increase his muscle activity'D. offer fluids to the patient if permitted

Correct Answer: C

Rationale: Increasing muscle activity (
C) risks vasoconstriction, worsening hypothermia. Bed rest (
A), blankets (
B), and fluids (
D) are appropriate.

ATI LPN Funsamentals Exam V | Nurselytic

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