ATI LPN
Health Assessment in Nursing Practice Questions Questions
Question 1 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 2 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 3 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.
Question 4 of 5
Which medical-surgical nursing concept does the nurse expect to be most affected by a client's recent episodes of nausea and vomiting?
Correct Answer: A
Rationale: Nausea and vomiting can lead to acid-base imbalance due to loss of gastric acid or dehydration. Cellular regulation (B) gas exchange (C) and immunity (D) are less directly affected.
Question 5 of 5
Which nursing actions are most appropriate for the nurse caring for a client with poor nutrition from bulimia nervosa to implement?Select one that apply.
Correct Answer: B
Rationale: Supplements (A) assessing skin/hair (B) and monitoring labs (E) address malnutrition. Strenuous exercise (C) is harmful in bulimia. High-fat foods (D) are not ideal. Bariatric surgery (F) is irrelevant.