ATI LPN
Patient Care Questions Questions
Question 1 of 5
In providing care for a client with pain from a sickle cell crisis, which one of the following medication orders for pain control should be questioned by the nurse?
Correct Answer: A
Rationale: Demerol (meperidine) is avoided in sickle cell crises due to risk of normeperidine accumulation and seizures.
Question 2 of 5
A newly admitted client has a diagnosis of depression. She complains of “twitching muscles†and a “racing heartâ€, and states she stopped taking Zoloft a few days ago because it was not helping her depression. Instead, she began to take her partner's Parnate. The nurse should immediately assess for which of these adverse reactions?
Correct Answer: C
Rationale: Switching from an SSRI (Zoloft) to an MAOI (Parnate) without a washout period risks serotonin syndrome, with mental status changes as a key sign.
Question 3 of 5
The nurse is monitoring a client receiving a thrombolytic agent, alteplase (Activase tissue plasminogen activator), for treatment of a myocardial infarction. What outcome indicates the client is receiving adequate therapy within the first hours of treatment?
Correct Answer: D
Rationale: ST-segment normalization indicates reperfusion, the goal of thrombolytic therapy.
Question 4 of 5
The nurse is caring for a client suspected to have Tuberculosis (TB). Which of the following diagnostic tests is essential for determining the presence of active TB?
Correct Answer: B
Rationale: Sputum culture confirms active TB by identifying Mycobacterium tuberculosis, unlike screening or supportive tests.
Question 5 of 5
A 15 month-old child comes to the clinic for a follow-up visit after hospitalization for treatment of Kawasaki Disease. The nurse recognizes that which of the following scheduled immunizations will be delayed?
Correct Answer: A
Rationale: MMR (live vaccine) is delayed post-Kawasaki due to recent IVIG, which may reduce vaccine efficacy.