ATI LPN
Nursing Health Assessment Questions Questions
Question 1 of 5
How will the nurse document the client's cognitive status when he or she experiences recent confusion with a rapid onset?
Correct Answer: A
Rationale: Delirium (A) is characterized by rapid-onset confusion. Amnesia (B) is memory loss. Dementia (C) is chronic and progressive. Intermittent confusion (D) is not a formal diagnosis.
Question 2 of 5
Acquired or passive immunity is when:
Correct Answer: A
Rationale: Passive immunity occurs when antibodies are received from another source (e.g.maternal antibodies immunoglobulin). B is active immunity C is herd immunity and D is unrelated to immunity.
Question 3 of 5
The nurse who is preparing to make an unoccupied bed should do what to ensure his or her personal safety?
Correct Answer: C
Rationale: Adjusting the bed to a comfortable working height (C) prevents back strain, a key ergonomic safety measure. Sterile gloves (A) aren’t needed, call light (B) is for the patient, and laundry bag placement (D) is unrelated to nurse safety.
Question 4 of 5
A nurse teaches a client who has a reflex (spastic) bladder after a spinal cord injury. Which bladder training technique would the nurse teach?
Correct Answer: C
Rationale: Stroking (A) and Valsalva (B) are for flaccid bladders and toileting (D) is impractical.
Question 5 of 5
A nurse is caring for clients as a member of the rehabilitation team. Which activities would the nurse complete as part of the nurse's role? (Select one that apply..)
Correct Answer: B
Rationale: Nurses coordinate care (B) aligning with their role. Maintaining technology (A) is technical staff’s job and identifying services (C) is typically a social worker’s role.