ATI LPN
Patient Care Exam Questions Questions
Question 1 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 2 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 3 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 4 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.
Question 5 of 5
During the two-month well-baby visit, the mother complains that formula seems to stick to her baby's mouth and tongue. Which of the following would provide the most valuable data for nursing assessment?
Correct Answer: A
Rationale: Inspecting the mouth and throat provides the most valuable data. Sticky formula suggests thrush (Candida), requiring visual confirmation, per pediatric assessment. Cultures follow inspection, flushing is therapeutic, and wiping risks irritation. A guides diagnosis.