ATI LPN
Patient Care Questions Questions
Question 1 of 5
An infant has just returned from surgery for placement of a gastrostomy tube as an initial treatment for tracheoesophageal fistula. The mother asks: 'When can the tube can be used for feeding?' The nurse's best response would be which of these comments?
Correct Answer: C
Rationale: Initial drainage ensures patency and prevents aspiration before feeding begins.
Question 2 of 5
A 67 year-old client is admitted with substernal chest pain with that radiates to the jaw. The admitting diagnosis is acute myocardial infarction (MI). The priority nursing diagnosis for this client during the first 24 hours is
Correct Answer: C
Rationale: Impaired gas exchange due to reduced cardiac output is the primary concern post-MI.
Question 3 of 5
The nurse uses the DRG (Diagnosis Related Group) manual to
Correct Answer: C
Rationale: DRGs categorize diagnoses for hospital reimbursement purposes.
Question 4 of 5
A 74 year-old male is admitted due to inability to void. He has a history of an enlarged prostate and has not voided in 14 hours. When assessing for bladder distention, the best method for the nurse to use is to assess for
Correct Answer: C
Rationale: Bladder distention presents as a palpable swelling above the pubis.
Question 5 of 5
While performing an initial assessment on a newborn following a breech delivery, the nurse suspects hip dislocation. Which of the following is most suggestive of the abnormality?
Correct Answer: D
Rationale: Asymmetry (e.g., uneven gluteal folds) strongly suggests hip dislocation.