ATI LPN
Patient Care Exam Questions Questions
Question 1 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 2 of 5
A client who had a laparoscopic appendectomy 2 days ago reports pain at a level of 8 out of 10 at the incision site. Which action should the nurse take first?
Correct Answer: A
Rationale: Administering the prescribed analgesic is first for pain at 8/10 post-appendectomy. Severe pain needs rapid relief, per protocol, assuming PRN orders. Assessing , notifying , or breathing follow. A prioritizes comfort, making it the initial step.
Question 3 of 5
A client with a central venous catheter reports pain at the insertion site. Which action should the nurse take first?
Correct Answer: B
Rationale: Assessing the site for redness or swelling is first for pain at a CVC site. It identifies infection or thrombosis, guiding care, per nursing process. Flushing , medicating , or notifying follow assessment. B ensures accurate intervention, making it priority.
Question 4 of 5
A nurse administers the influenza vaccine to a client in a clinic. Within 15 minutes after the immunization was given, the client complains of itchy and watery eyes, increased anxiety, and difficulty breathing. The nurse expects that the first action in the sequence of care for this client will be to
Correct Answer: A
Rationale: Maintaining the airway is the first action for anaphylaxis post-vaccine, indicated by itchy eyes, anxiety, and breathing difficulty, per emergency protocols. Airway compromise is life-threatening, prioritizing it over epinephrine , monitoring , or antihistamines , which follow. A ensures oxygenation, critical in this rapid-onset reaction.
Question 5 of 5
The nurse sees a substance abusing client occasionally in the outpatient clinic. In evaluating the client's progress, the nurse recognizes that the most revealing resistant behavior is
Correct Answer: B
Rationale: Continuing drug use is the most revealing resistant behavior. It directly indicates failure to progress in substance abuse treatment, per addiction nursing. Crises , rationalizing , and absences suggest resistance but ongoing use is the definitive barrier to recovery.