When performing an initial assessment on a patient, which piece of information is of highest priority?
ATI LPN Fundamentals Proctored Exam
48 questions · Page 2 of 2
ATI LPN Fundamentals Proctored Exam is a nursing-school practice exam with 48 questions. It is written for nursing students preparing for this course exam and for NCLEX-style review. Every question has its own page showing the full stem, all answer options, the correct answer, and a written rationale explaining why each option is right or wrong.
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Start Practice ExamQuestions 26–48 of 48
The nurse taking an apical pulse would place the stethoscope at:
A nurse is caring for a patient with a cardiac disease history. When measuring vital signs, the nurse finds that the radial pulse is 102 beats/min and irregular. The nurse correctly:
A nurse caring for a patient on bed rest with a history of respiratory health problems should:
The nurse tells a patient that he will be performing a visual acuity test using the Snellen eye chart. The patient asks how the test is done. The nurse's best reply is:
The nurse anticipates that if the stroke volume of a patient is reduced, the pulse will be:
The nurse would refrain from applying a blood pressure cuff on the affected arm of a patient who has a(n): (Select all that apply)
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 fo
The nurse is informed that a patient had abnormal heart sounds during the night shift. When auscultating abnormal heart sounds, the nurse knows to listen to heart sounds with the:
Standards of the Joint Commission state that pain is the fifth vital sign and should be documented by assessments of: (Select all that apply.)
The normal pattern of breathing is described as
A 52-year-old patient presents with malaise, fatigue, chest congestion, and a chronic cough. While collecting assessment data, an important question to ask is
To ensure an accurate reading when using a glass oral thermometer, it is necessary to
A type of Korotkoff sound that indicates the diastolic pressure in children and in some adults is
When a fever begins to come down. the patient is in a state of
A 16-year-old patient sustained a head injury while playing soccer. When performing a neurologic check, the nurse looks at each pupil to determine
Regarding the blood pressure in children, the diastolic pressure is assessed by the auscultation of a:
An older adult American Indian patient has been admitted to the hospital with abdominal pain. Along with performing a physical assessment, the nurse should also perform a:
A very pertinent part of the physical examination on a patient with back pain is
The nurse assesses that the 86-year-old patient is experiencing orthostatic hypotension when assessments indicate: (Select all that apply.)
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 patient who is terminally ill is described during shift report as having Cheyne-Stokes breathing. On assessment, the nurse anticipates finding:
A patient was admitted with possible head trauma after a motor vehicle accident. The nursing implementation with the highest priority is to: