ATI LPN
Health Assessment in Nursing Practice Questions Questions
Question 1 of 5
A client with a fluid volume deficit is receiving an I.V. infusion of dextrose 5% in water and lactated Ringer’s solution at 125 ml/hour. Which data collection finding indicates the need for additional I.V. fluids?
Correct Answer: D
Rationale: Dark amber urine (D) indicates concentrated urine from dehydration, suggesting more fluids are needed. Sodium 135 (A) is normal, 99.6°F (B) is mildly elevated, and neck vein distension (C) suggests fluid overload.
Question 2 of 5
A client with a myocardial infarction and cardiogenic shock is placed on an intra-aortic balloon pump (IABP). If the device is functioning properly, the balloon inflates when the:
Correct Answer: C
Rationale: The IABP inflates during diastole when the aortic valve is closed (C), aiding coronary perfusion and reducing afterload.
Question 3 of 5
A client who has been diagnosed with Prinzmetal’s angina will exhibit which change on an electrocardiogram while experiencing chest pain?
Correct Answer: C
Rationale: Prinzmetal’s angina, caused by coronary vasospasm, shows transient ST segment elevation (C) on ECG during pain, unlike typical angina (A). Q waves (B) indicate infarction, and T wave flattening (D) is nonspecific.
Question 4 of 5
The nurse is preparing a client for a lumbar puncture. In which position should the nurse place the client?
Correct Answer: C
Rationale: Lateral with knees drawn to chest (C) widens intervertebral spaces for lumbar puncture access. Prone (A), supine (B), or sitting (D) positions are less effective.
Question 5 of 5
Which medical-surgical concept does the nurse view as altered in a client who has a thick
Correct Answer: C
Rationale: Cellular regulation is altered because a thick,ridge-like scar indicates excessive collagen deposition and abnormal tissue repair,which is a dysfunction in cellular regulation. Mobility (A) may be affected initially but not necessarily long-term. Infection (B) is unlikely if the scar is healed and old. Sensory perception (D) is unrelated to scar formation.