ATI LPN
Assessment Nursing Questions Questions
Question 1 of 5
A client with a burn injury is receiving silver sulfadiazine cream. Which laboratory value should the nurse monitor?
Correct Answer: A
Rationale: Silver sulfadiazine can cause leukopenia; monitoring WBC count (A) is key. Potassium (B), glucose (C), and platelets (D) are less affected.
Question 2 of 5
Which health promotion strategies and actions are most appropriate for the nurse to perform when caring for a client who has a chronic health problem that interferes with gas exchange? Select one that apply..
Correct Answer: A
Rationale: Vaccinations (A) hand hygiene (C) bronchodilators (D) and incentive spirometry (E) improve gas exchange. Sleeping flat (B) worsens gas exchange. Increasing oxygen flow (F) is unsafe without orders.
Question 3 of 5
When positioning a bed pan for a bedridden patient
Correct Answer: C
Rationale: A warm and powdered bed pan prevents sticking and discomfort. Size (A) is important but not specific single room (B) is unrelated and color (D) is irrelevant to function.
Question 4 of 5
In communication
Correct Answer: D
Rationale: Silence in communication often shows attentiveness to the patient's verbal and non-verbal cues. Stress relief (A) understanding reality (B) and pondering decisions (C) are less specific to silence's role in communication.
Question 5 of 5
A new nursing assistive personnel (NAP) is making a surgical bed for a patient who is having abdominal surgery. Where will you instruct the NAP to place the waterproof pad on this bed?
Correct Answer: B
Rationale: Placing the waterproof pad over the bottom sheet (B) protects the mattress from potential surgical drainage while keeping the patient comfortable. Over the mattress (A) is less effective, over the top sheet (C) is impractical, and not using one (D) risks contamination.