ATI LPN
Patient Care Questions Questions
Question 1 of 5
A newly admitted client has a diagnosis of depression. She complains of “twitching muscles†and a “racing heartâ€, and states she stopped taking Zoloft a few days ago because it was not helping her depression. Instead, she began to take her partner's Parnate. The nurse should immediately assess for which of these adverse reactions?
Correct Answer: C
Rationale: Switching from an SSRI (Zoloft) to an MAOI (Parnate) without a washout period risks serotonin syndrome, with mental status changes as a key sign.
Question 2 of 5
The nurse is caring for a client suspected to have Tuberculosis (TB). Which of the following diagnostic tests is essential for determining the presence of active TB?
Correct Answer: B
Rationale: Sputum culture confirms active TB by identifying Mycobacterium tuberculosis, unlike screening or supportive tests.
Question 3 of 5
A 15 month-old child comes to the clinic for a follow-up visit after hospitalization for treatment of Kawasaki Disease. The nurse recognizes that which of the following scheduled immunizations will be delayed?
Correct Answer: A
Rationale: MMR (live vaccine) is delayed post-Kawasaki due to recent IVIG, which may reduce vaccine efficacy.
Question 4 of 5
A client's admission urinalysis shows the specific gravity value of 1.039. Which of the following assessment data would the nurse expect to find when assessing this client?
Correct Answer: C
Rationale: High specific gravity (normal 1.010-1.030) suggests dehydration, leading to poor skin turgor.
Question 5 of 5
A nursing student asks the nurse manager to explain the forces that drive health care reform. The appropriate response by the nurse manager should include
Correct Answer: C
Rationale: Aging population and chronic illness prevalence drive reform due to increased demand and costs.