ATI LPN
Nursing Health Assessment Questions Questions
Question 1 of 5
A client with pneumonia develops respiratory failure and is placed on mechanical ventilation. Which assessment finding indicates the client is tolerating the ventilator?
Correct Answer: B
Rationale: Oxygen saturation of 95% (B) indicates adequate oxygenation and ventilator tolerance. High respiratory rate (A), agitation (C), or alarms (D) suggest intolerance or complications.
Question 2 of 5
Which signs and symptoms are indicators of inadequate clotting? Select one that apply..
Correct Answer: A
Rationale: Purpura (A) indicate poor clotting. Itching (B) and poor skin turgor (E) are unrelated.
Question 3 of 5
How will the nurse document the client's cognitive status when he or she experiences recent confusion with a rapid onset?
Correct Answer: A
Rationale: Delirium (A) is characterized by rapid-onset confusion. Amnesia (B) is memory loss. Dementia (C) is chronic and progressive. Intermittent confusion (D) is not a formal diagnosis.
Question 4 of 5
Which is the common IV additive that can only be added to IV solutions but not pushed directly intravenously?
Correct Answer: C
Rationale: Potassium chloride must be diluted in IV solutions and never pushed directly due to risk of cardiac arrhythmias. Metronidazole (A) Vitamin C (B) and sodium chloride (D) can be administered differently based on context.
Question 5 of 5
Acquired or passive immunity is when:
Correct Answer: A
Rationale: Passive immunity occurs when antibodies are received from another source (e.g.maternal antibodies immunoglobulin). B is active immunity C is herd immunity and D is unrelated to immunity.