ATI LPN
Patient Care Test Questions Questions
Question 1 of 5
A 6 month-old infant who is being treated for developmental dysplasia of the hip has been placed in a hip spica cast. The nurse should teach the parents to
Correct Answer: C
Rationale: Monitoring for swelling ensures circulation isn't compromised by the cast.
Question 2 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 3 of 5
The nurse is teaching a client about the healthy use of ego defense mechanisms. An appropriate goal for this client would be
Correct Answer: A
Rationale: Healthy ego defenses reduce fear and maintain self-esteem adaptively.
Question 4 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 5 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.