ATI LPN
Patient Care Questions Questions
Question 1 of 5
A client is being maintained on heparin therapy for deep vein thrombosis (DVT). The nurse must closely monitor which of the following laboratory values?
Correct Answer: C
Rationale: Activated PTT must be closely monitored on heparin for DVT. Heparin, an anticoagulant, prolongs PTT (therapeutic range: 1.5-2.5x normal), ensuring efficacy without bleeding risk. Bleeding time and clotting time are nonspecific. Platelet count monitors heparin-induced thrombocytopenia, but PTT directly measures effect. C guides dosing, making it the key value.
Question 2 of 5
Which of these clients would be most appropriate to assign to a practical nurse (PN)?
Correct Answer: C
Rationale: A hemiplegic with NG tube feeding and an amputee in rehab suits a PN. Stable care aligns with PN scope, unlike acute trauma/neck surgery , new diabetes/AIDS , or psych/renal . C matches PN skills, making it appropriate.
Question 3 of 5
When screening children for scoliosis, at what time of development would the nurse expect early signs to appear?
Correct Answer: D
Rationale: Preadolescent growth spurt is when scoliosis signs appear. Rapid growth (ages 9-15) reveals spinal curvature, per screening norms. Prenatal , infancy , or weight-bearing don't correlate. D aligns with development, making it the expected time.
Question 4 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 5 of 5
When assessing a client, it is important for the nurse to be informed about cultural issues related to the client's background because
Correct Answer: A
Rationale: Normal behavior may be mislabeled highlights cultural importance. Misunderstanding norms risks misdiagnosis, per cultural competence. Conventional wisdom , personal values , or stages skew judgment. A ensures accurate care, making it key.