ATI LPN
Patient Care Questions Questions
Question 1 of 5
A client calls the evening health clinic to state “I know I have a severely low sugar since the Lantus insulin was given 3 hours ago and it peaks in 2 hours.†What should be the nurse's initial response to the client?
Correct Answer: B
Rationale: Assessing symptoms first clarifies if hypoglycemia is occurring; Lantus is long-acting and doesn't peak at 2 hours.
Question 2 of 5
In providing care for a client with pain from a sickle cell crisis, which one of the following medication orders for pain control should be questioned by the nurse?
Correct Answer: A
Rationale: Demerol (meperidine) is avoided in sickle cell crises due to risk of normeperidine accumulation and seizures.
Question 3 of 5
The nurse is assessing a 7 year-old after several days of treatment for a documented strep throat. Which of the following statements suggests that further teaching is needed?
Correct Answer: C
Rationale: Inconsistent timing reduces antibiotic efficacy, risking treatment failure.
Question 4 of 5
A newly admitted client has a diagnosis of depression. She complains of “twitching muscles†and a “racing heartâ€, and states she stopped taking Zoloft a few days ago because it was not helping her depression. Instead, she began to take her partner's Parnate. The nurse should immediately assess for which of these adverse reactions?
Correct Answer: C
Rationale: Switching from an SSRI (Zoloft) to an MAOI (Parnate) without a washout period risks serotonin syndrome, with mental status changes as a key sign.
Question 5 of 5
The nurse is monitoring a client receiving a thrombolytic agent, alteplase (Activase tissue plasminogen activator), for treatment of a myocardial infarction. What outcome indicates the client is receiving adequate therapy within the first hours of treatment?
Correct Answer: D
Rationale: ST-segment normalization indicates reperfusion, the goal of thrombolytic therapy.