ATI LPN
Assessment Nursing Questions Questions
Question 1 of 5
During report, the nurse obtains information on a 98-year-old patient who has terminal lung cancer and is admitted for palliative care. The nurse describes her breathing as labored, with periods of apnea alternating with deep breaths. The NAP reports the patient's respiratory rate as 12/min. After the nurse confirms these findings, how does the nurse describe this pattern?
Correct Answer: B
Rationale: Cheyne-Stokes respirations are characterized by cycles of deep breaths followed by apnea, often seen in end-of-life conditions like terminal lung cancer due to brain stem dysfunction or hypoxia. Kussmaul’s is rapid and deep (metabolic acidosis); agonal is irregular and gasping (near death); hypoventilation is slow and shallow, not matching this pattern.
Question 2 of 5
Patient Wang, diagnosis: sepsis, persistent fever for 10 days, 8:00 every day body temperature of about 38°C, 16:00 body temperature as high as 39.5°C or above, the patient’s possible fever type is
Correct Answer: B
Rationale: Relaxation fever (B) features persistent fever with significant daily swings (e.g., 38°C to 39.5°C), common in sepsis due to fluctuating inflammatory responses. Residual heat (A) is low-grade post-infection; intermittent (C) drops to normal; irregular (D) lacks pattern.
Question 3 of 5
Which of the following positions is commonly used for rectal examinations?
Correct Answer: C
Rationale: Sims’ (side-lying, flexed leg) aids rectal access. Fowler’s (A) helps breathing, lithotomy (B) is gynecological, supine (D) limits access.
Question 4 of 5
In basic nursing, 'aseptic technique' means:
Correct Answer: B
Rationale: Aseptic technique maintains sterility to prevent infection, not unsterile (A), ignoring hygiene (C), or skin-only (D).
Question 5 of 5
When handling sterile equipment, it is important to:
Correct Answer: B
Rationale: Sterility requires gloves and no contamination. Bare hands (A), post-cleaning (C), or disposable-only (D) break sterility.