ATI LPN
Health Assessment in Nursing Practice Questions Questions
Question 1 of 5
By what action does a 'cigarette' drain remove fluid from a wound?
Correct Answer: D
Rationale: Cigarette (Penrose) drains use wicking to passively draw fluid out via capillary action.
Question 2 of 5
The hepatic and splenic flexures are located proximally and distally in which part of the large intestine?
Correct Answer: D
Rationale: Hepatic (right) and splenic (left) flexures are in the transverse colon.
Question 3 of 5
In a robotically assisted hysterectomy, the surgical technologist may be responsible for removing the specimen from the vagina after the vaginal cuff closure has been completed.
Correct Answer: A
Rationale: The technologist often retrieves the specimen vaginally post-closure in robotic hysterectomies, assisting the surgeon.
Question 4 of 5
A patient admitted to the hospital in hypertensive crisis is ordered to receive hydralazine (Apresoline) 20 mg IV stat for blood pressure greater than 190/100 mmHg. The best response of the nurse to this order is to:
Correct Answer: B
Rationale: The order specifies hydralazine ‘stat’ for BP >190/100 mmHg, meaning the nurse should administer it only if the BP exceeds this threshold (B). Immediate administration (A) ignores the condition, calling the physician (C) is unnecessary as the order is clear, and repeating (D) requires further orders.
Question 5 of 5
On her 3rd postpartum day, a client complains of chills and aches. Her chart shows that she has had a temperature of 100.6°F (38.1°C) for the past 2 days. The nurse assesses foul-smelling, yellow lochia. What do these findings suggest?
Correct Answer: C
Rationale: Fever, chills, aches, and foul-smelling lochia suggest a localized postpartum infection (C), likely endometritis. Lochia alba (A) and serosa (B) are normal, and cervical laceration (D) wouldn’t cause systemic symptoms.