ATI LPN Fundamentals Proctored Exam

A nurse is reinforcing teaching with the spouse of a client about how to take a blood pressure. Which of the following actions by the spouse indicates a need for further instruction?

If a silence is heard between sounds when auscultating blood pressure, it is termed a(n)

A 45-year-old patient who is alert and oriented has a blood pressure of 98/66 mm Hg, radial pulse of 76 beats/min (irregular), and respirations of 18 breaths/min (regular). The best nursing interventi

The nurse taking a blood pressure should:

A nurse is checking a client's bowel sounds. At which of the following times should the nurse auscultate the client's abdomen?

When caring for a victim with a gunshot wound to the abdomen who has lost a significant amount of blood, the nurse would anticipate the vital signs to reflect:

Older adult patients with hypertension may have an auscultatory gap in their Korotkoff sounds. It is important when taking their blood pressure measurement to:

The nurse would record a pulse as bradycardic if the rate were:

If dehydration occurs, the blood pressure will

The nurse documents vital signs on a newly admitted patient as: "blood pressure is 170/90 mm Hg, the pulse is 80 beats/min, and the respirations are 16 breaths/min." The nurse would record the pulse p

When checking extraocular movements, the nurse asks the patient to follow an object as it is moved into different positions and watch to see if

If a patient's blood pressure measures 146/92 on the left arm and 138/84 on the right arm, what would you do?

The nurse covers a newborn baby's head with a cap. because the head:

A critically ill patient has faster and deeper, then slower, respirations. These are followed by a period of no breathing for 21 seconds with continuation of this cycle. This respiratory pattern is

To correctly determine the strength of a patient's lower extremities during a neurological examination, the nurse asks the patient to:

A nurse is instructing a nursing student on performing pupillary checks on a patient with a possible head injury. Which statement indicates that the nursing student understands the concept?

It is the responsibility of the nurse to perform a quick focused assessment of the patient upon:

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

During a health interview, an older adult patient has difficulty remembering information about the health history. In order to get the information more reliably, the nurse should:

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:

When educating a patient about the warning signs of cancer, the nurse includes which of the following? (Select all that apply.)

A patient is receiving an opiate-based medication to help mange pain. Which assessment has the highest priority when monitoring his condition?

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

The nurse notes that a patient has an exaggerated lumbar curve. This is indicative of

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