ATI LPN
Patient Care Test Questions Questions
Question 1 of 5
A client who had a transurethral resection of the prostate yesterday has a three-way indwelling catheter system with continuous irrigation. Which assessment finding warrants immediate action by the nurse?
Correct Answer: B
Rationale: Bright red urine with clots warrants immediate action post-TURP. It suggests active bleeding, needing irrigation adjustment or provider notification, per protocol. Low output , spasms , and mild fever are less urgent. B addresses hemorrhage, making it priority.
Question 2 of 5
The nurse is performing a pre-kindergarten physical on a 5 year-old. The last series of vaccines will be administered. What is the preferred site for injection by the nurse?
Correct Answer: C
Rationale: The preferred site for injection in a 5-year-old is the vastus lateralis . This muscle, located on the anterolateral thigh, is well-developed in children, has minimal major nerves or blood vessels, and can accommodate vaccine volumes, per pediatric nursing standards. Vastus intermedius is deeper and less accessible, gluteus maximus risks sciatic nerve injury and is avoided in young children, and dorsogluteal is not recommended due to similar risks and inadequate muscle mass in this age group. C ensures safety and efficacy, aligning with immunization guidelines.
Question 3 of 5
When counseling a 6 year-old who is experiencing enuresis, what must the nurse understand about the pathophysiological basis of this disorder?
Correct Answer: A
Rationale: Enuresis has no clear etiology . It's multifactorial possibly maturational delay, genetics, or stress per pediatric urology, not fully understood. Sleep phobia isn't established, genetics contributes but isn't definite, and misbehavior is outdated. A guides nonjudgmental counseling and evaluation.
Question 4 of 5
A victim of domestic violence states, 'If I were better, I would not have been beat.' Which feeling best describes what the victim may be experiencing?
Correct Answer: C
Rationale: Self-blame best describes the victim's statement. Attributing abuse to personal inadequacy reflects internalized guilt, common in domestic violence, per psychological nursing. Fear , helplessness , and rejection may coexist, but C directly matches the expressed belief.
Question 5 of 5
A 35 year-old client with sickle cell crisis is talking on the telephone but stops as the nurse enters the room to request something for pain. The nurse should
Correct Answer: C
Rationale: Administering prescribed analgesia is the priority in sickle cell crisis pain, per pain management standards. It addresses vaso-occlusive pain swiftly. Placebo is unethical, fluids are adjunctive, and relaxation is insufficient. C ensures relief and trust.