ATI LPN
Patient Care Questions Questions
Question 1 of 5
A 67 year-old client is admitted with substernal chest pain with that radiates to the jaw. The admitting diagnosis is acute myocardial infarction (MI). The priority nursing diagnosis for this client during the first 24 hours is
Correct Answer: C
Rationale: Impaired gas exchange due to reduced cardiac output is the primary concern post-MI.
Question 2 of 5
A 74 year-old male is admitted due to inability to void. He has a history of an enlarged prostate and has not voided in 14 hours. When assessing for bladder distention, the best method for the nurse to use is to assess for
Correct Answer: C
Rationale: Bladder distention presents as a palpable swelling above the pubis.
Question 3 of 5
While performing an initial assessment on a newborn following a breech delivery, the nurse suspects hip dislocation. Which of the following is most suggestive of the abnormality?
Correct Answer: D
Rationale: Asymmetry (e.g., uneven gluteal folds) strongly suggests hip dislocation.
Question 4 of 5
A Hispanic client refuses emergency room treatment until a curandero is called. The nurse understands that this person brings what to situations of illness?
Correct Answer: A
Rationale: A curandero provides holistic folk healing in Hispanic culture.
Question 5 of 5
The nurse is assessing a newborn infant and observes low set ears, short palpebral fissures, flat nasal bridge and indistinct philtrum. A priority maternal assessment by the nurse should be to ask about
Correct Answer: A
Rationale: These features suggest fetal alcohol syndrome, linked to maternal alcohol use.