ATI LPN
Patient Care Exam Questions Questions
Question 1 of 5
A client asks the nurse to call the police and states: 'I need to report that I am being abused by a nurse.' The nurse should first
Correct Answer: C
Rationale: Obtaining more details is the first step. It clarifies the abuse claim, guiding action, per safety protocols. Reality orientation assumes delusion, assisting police or documenting skips assessment. C ensures accuracy, making it priority.
Question 2 of 5
During the initial home visit, a nurse is discussing the care of a client newly diagnosed with Alzheimer's disease with family members. Which of these interventions would be most helpful at this time?
Correct Answer: D
Rationale: Suggesting communication strategies is most helpful early in Alzheimer's. It aids family coping with cognitive decline, per disease stage. Relaxation , exercise , and nutrition are secondary. D supports interaction, making it key.
Question 3 of 5
The nurse is caring for a newborn with tracheoesophageal fistula. Which nursing diagnosis is a priority?
Correct Answer: B
Rationale: Ineffective airway clearance is priority in tracheoesophageal fistula. Aspiration risk from esophageal defect demands airway management, per ABCs. Dehydration , nutrition , and injury follow. B ensures breathing, making it key.
Question 4 of 5
A client experienced the loss of a spouse 12 months ago. Today the client reveals feelings of anger and hopelessness to the nurse. Which initial response by the nurse would be most appropriate?
Correct Answer: B
Rationale: Tell me more about how you are feeling now' is the most appropriate initial response. It invites the client to elaborate, facilitating therapeutic communication and assessing grief progression, per nursing principles. Condemning anger dismisses emotions, predicting resolution offers false reassurance, and redirecting to family avoids engagement. After 12 months, anger and hopelessness may indicate complicated grief, needing exploration. B builds trust, encourages expression, and informs care, making it the best choice.
Question 5 of 5
While assessing a client with a casted right ankle and foot, the nurse notes the toes are more edematous than they were several hours ago and are cool to touch despite elevation of the foot above the level of the heart. Which action should the nurse take first?
Correct Answer: A
Rationale: Notifying the provider immediately is first. Increased edema and coolness despite elevation suggest vascular compromise (e.g., compartment syndrome), needing urgent evaluation, per protocol. More assessments delay, documentation is secondary, and heat worsens swelling. A ensures timely intervention, making it the initial step.