ATI LPN
Nursing Assessment Questions Questions
Question 1 of 5
A nurse is assessing a group of clients. The nurse knows that which of the following clients is at risk for fluid volume deficit? (DHA)
Correct Answer: D
Rationale: A colostomy bag (D) increases fluid loss via stool, risking deficit. Cirrhosis (A) and CHF (C) cause fluid retention, and kidney dysfunction (B) may reduce output but not necessarily deficit.
Question 2 of 5
The nurse is taking the health history of a patient being treated for sickle cell disease. After being told the patient has severe generalized pain, the nurse expects to note which assessment finding?
Correct Answer: C
Rationale: Sickle cell disease causes vaso-occlusion, leading to jaundice (yellow sclera, C) from hemolysis. Generalized pain is typical, not toe-specific (B), and diarrhea (A) or headache (D) are less common.
Question 3 of 5
An woman is prescribed metformin for glucose control. The patient is on NPO status pending a diagnostic test. The nurse is most concerned about which side effect of metformin?
Correct Answer: D
Rationale: Metformin doesn’t typically cause hypoglycemia (D) alone, but NPO status risks it if combined with other factors. Diarrhea (A) is common but less urgent here.
Question 4 of 5
Major part of cardiac output used for which organ?
Correct Answer: D
Rationale: The kidneys receive about 20-25% of cardiac output (D), the highest proportion per organ, though lungs receive 100% total flow.
Question 5 of 5
Witch’s milk commonly seen only in --...?
Correct Answer: B
Rationale: Witch’s milk (B) is a normal newborn phenomenon due to maternal hormones causing breast secretion. It’s not seen in infants (A), adolescents (C), or prenatal clients (D).