ATI LPN
Patient Care Test Questions Questions
Question 1 of 5
A nurse aide is taking care of a 2 year-old child with Wilm's tumor. The nurse aide asks the nurse why there is a sign above the bed that says DO NOT PALPATE THE ABDOMEN? The best response by the nurse would be made to the statements:
Correct Answer: A
Rationale: Touching the abdomen could cause cancer cells to spread' is the best response. Palpation risks rupturing a Wilms' tumor, per oncology nursing, potentially disseminating cells. B is unclear, C and D are incorrect. A educates accurately.
Question 2 of 5
A client has a chest tube inserted following a left lower lobectomy required by a stab wound to the chest. While repositioning the client, the nurse notices 200 cc of dark, red fluid flows into the collection chamber of the chest drain. What is the most appropriate nursing action?
Correct Answer: D
Rationale: Continuing to monitor the rate of drainage is most appropriate. 200 cc of dark red fluid post-lobectomy is expected initially, per surgical nursing. Clamping risks tension pneumothorax, calling or transfusion is premature without trends. D assesses stability.
Question 3 of 5
Several clients are admitted to an adult medical unit. For which client condition(s) would the nurse institute airborne precautions?
Correct Answer: B
Rationale: A positive PPD with abnormal chest X-ray requires airborne precautions. It suggests active TB, per CDC guidelines, needing isolation. CMV , viral pneumonia , and carcinoma don't typically require airborne. B prevents TB spread.
Question 4 of 5
Which of these actions is the primary nursing intervention designed to limit transmission of a client's Salmonella infection?
Correct Answer: A
Rationale: Washing hands thoroughly before and after contact is the primary intervention for Salmonella. It prevents fecal-oral transmission, per infection control standards, universally effective. Gloves (B, C, D) supplement but handwashing is foundational. A limits spread.
Question 5 of 5
A client has been on antibiotics for 72 hours for cystitis. Which report from the client requires priority attention by the nurse?
Correct Answer: C
Rationale: Fever suggests worsening infection or systemic spread, requiring urgent evaluation.