ATI LPN
Patient Care Exam Questions Questions
Question 1 of 5
During the two-month well-baby visit, the mother complains that formula seems to stick to her baby's mouth and tongue. Which of the following would provide the most valuable data for nursing assessment?
Correct Answer: A
Rationale: Inspecting the mouth and throat provides the most valuable data. Sticky formula suggests thrush (Candida), requiring visual confirmation, per pediatric assessment. Cultures follow inspection, flushing is therapeutic, and wiping risks irritation. A guides diagnosis.
Question 2 of 5
The nurse is planning care for a 2 year-old hospitalized child. Which of the following will produces the most stress at this age?
Correct Answer: A
Rationale: Separation anxiety produces the most stress in a 2-year-old. Per Erikson's autonomy stage, separation from caregivers is primary, per pediatric psychology. Pain , control , and injury matter but separation is dominant. A guides care focus.
Question 3 of 5
The provider order reads 'Aspirate nasogastric (NG) feeding tube every 4 hours and check pH of aspirate.' The pH of the aspirate is 10. Which action should the nurse take?
Correct Answer: A
Rationale: Holding the feeding and notifying the provider is correct for a pH of 10. Gastric pH is typically 1-5; 10 suggests misplacement (e.g., lung), per enteral feeding standards. Feeding , irrigating , or suction risk harm. A ensures safety.
Question 4 of 5
A nurse who is assigned to the emergency department needs to understand that gastric lavage is a priority in which situation?
Correct Answer: B
Rationale: Gastric lavage is a priority for a toddler who ate ibuprofen tablets . NSAID overdose risks GI bleeding, per toxicology, warranting decontamination. Botulism isn't ingested acutely, plant food varies, vitamins are less urgent. B addresses toxicity.
Question 5 of 5
A parent calls the hospital hot line and is connected to the triage nurse. The caller proclaims: 'I found my child with odd stuff coming from the mouth and an unmarked bottle nearby.' Which of these comments would be the best tool for the nurse to determine if the child has swallowed a corrosive substance?
Correct Answer: A
Rationale: Ask the child if the mouth is burning or throat pain is present' is the best tool. Burning indicates a corrosive substance, per toxicology triage, guiding urgency. Pulse/breathing , color , and GI symptoms are secondary. A targets the key symptom.