ATI LPN
Patient Care Test Questions Questions
Question 1 of 5
A 4 month-old child taking digoxin (Lanoxin) has a blood pressure of 92/78; resting pulse of 78 BPM; respirations 28 and a potassium level of 4.8 mEq/L. The client is irritable and has vomited twice since the morning dose of digoxin. Which finding is most indicative of digoxin toxicity?
Correct Answer: A
Rationale: Bradycardia (pulse 78 BPM, low for an infant) is a classic sign of digoxin toxicity.
Question 2 of 5
When caring for a client with advanced cirrhosis of the liver, which nursing diagnosis should take priority?
Correct Answer: A
Rationale: Hemorrhage risk (e.g., from varices) is life-threatening in advanced cirrhosis.
Question 3 of 5
The nurse is caring for a client admitted to the hospital with right lower lobe (RLL) pneumonia. On assessment, the nurse notes crackles over the RLL. The client has significant pleuritic pain and is unable to take in a deep breath in order to cough effectively. Which nursing diagnosis would be most appropriate for this client based on this assessment data?
Correct Answer: B
Rationale: Ineffective cough and sputum indicate airway clearance issues.
Question 4 of 5
A client was re-admitted to the hospital following a recent skull fracture. Which finding requires the nurse's immediate attention?
Correct Answer: A
Rationale: Lethargy may indicate rising intracranial pressure, a critical complication.
Question 5 of 5
A client asks the nurse about including her 2 and 12 year-old sons in the care of their newborn sister. Which of the following is an appropriate initial statement by the nurse?
Correct Answer: B
Rationale: Assigning age-appropriate tasks fosters involvement and responsibility.