ATI LPN
Patient Care Exam Questions Questions
Question 1 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 2 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 3 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.
Question 4 of 5
The parents of a 2 year-old child report that he has been holding his breath whenever he has temper tantrums. What is the best action by the nurse?
Correct Answer: C
Rationale: Advising parents to ignore breath-holding is best. It's a benign tantrum behavior; reflex breathing resumes, per pediatric standards. CPR is unnecessary, giving in reinforces behavior, and reasoning is ineffective at this age. C prevents escalation safely.
Question 5 of 5
The nurse is caring for a client with a pressure ulcer on the heel that is covered with black hard tissue. Which would be an appropriate goal in planning care for this client?
Correct Answer: C
Rationale: Debriding eschar is the appropriate goal for a heel ulcer with black tissue. Eschar removal promotes healing, per wound care standards. Granulation isn't present, infection may follow debridement, and keeping eschar delays recovery. C addresses the primary barrier.