ATI LPN
Patient Care Questions Questions
Question 1 of 5
A client being treated for hypertension returns to the community clinic for follow up. The client says, 'I know these pills are important, but I just can't take these water pills anymore. I drive a truck for a living, and I can't be stopping every 20 minutes to go to the bathroom.' Which of these is the best nursing diagnosis?
Correct Answer: A
Rationale: Noncompliance related to side effects is the best diagnosis. Diuretic-induced urination disrupts work, causing refusal, per client statement. Knowledge deficit , coping , or maintenance don't fit. A identifies behavior and cause, making it accurate.
Question 2 of 5
A nurse is working with one licensed practical nurse (PN), a student nurse and an unlicensed assistive personnel (UAP). Which newly admitted clients would be most appropriate to assign to the UAP?
Correct Answer: C
Rationale: An adolescent with dehydration and anorexia suits a UAP. Basic care (e.g., fluids) fits scope, unlike depression , OCD , or withdrawal , needing RN skill. C ensures safe assignment.
Question 3 of 5
An 80 year-old client admitted with a diagnosis of possible cerebral vascular accident has had a blood pressure from 160/100 to 180/110 over the past 2 hours. The nurse has also noted increased lethargy. Which assessment finding should the nurse report immediately to the provider?
Correct Answer: A
Rationale: Slurred speech needs immediate reporting in a possible CVA with hypertension and lethargy. It signals stroke progression, requiring urgent intervention. Incontinence , weakness , and pulse are less specific. A prioritizes neuro status, making it critical.
Question 4 of 5
The nurse is developing a meal plan that would provide the maximum possible amount of iron for a child with anemia. Which dinner menu would be best?
Correct Answer: B
Rationale: Ground beef, lima beans, wheat roll, raisins, milk maximizes iron. Heme iron from beef (~2.5 mg) and non-heme from beans (~4.5 mg), raisins (~1 mg), and wheat (~1 mg) optimize absorption. Others (A, C, D) offer less (~0.5-1 mg). B fights anemia, making it best.
Question 5 of 5
The nurse has just received report on a group of clients and plans the order in which they will be seen. List the order in which the nurse should see the following clients: 1) A client admitted 2 days ago with dehydration who reports vomiting x2 this morning; 2) A client admitted yesterday with 70% blockage of the left coronary artery and an episode of chest pain during the night; 3) A client with pneumonia who is receiving oxygen via nasal cannula with vital signs due in 15 minutes; 4) A client with small bowel obstruction whose nasogastric tube needs to be repositioned.
Correct Answer: C
Rationale: Order 2,1,4,3 is optimal. Chest pain with 70% coronary blockage (2) signals potential MI, requiring immediate assessment per ABCs. Vomiting with dehydration (1) risks electrolyte imbalance, needing prompt attention. NG tube repositioning for obstruction (4) is urgent to relieve pressure, while pneumonia with stable oxygen (3) is least acute with vitals pending. C prioritizes life-threatening issues (circulation, fluid status, obstruction) over routine care, aligning with nursing triage, making it the correct sequence.