ATI LPN
Nursing Assessment Questions Questions
Question 1 of 5
Surgical skin preps for breast procedures for carcinoma should be performed vigorously and thoroughly to prevent postoperative surgical site infections in immunocompromised patients.
Correct Answer: B
Rationale: Vigorous preps can damage skin, increasing infection risk; gentle, thorough preps are standard, even in immunocompromised patients.
Question 2 of 5
To remove soft contact lenses from the eyes of an unconscious patient the nurse should:
Correct Answer: B
Rationale: The safest method to remove soft contact lenses from an unconscious patient is to pinch the lens gently and slide it off the cornea (B). Suction cups (A) are for rigid lenses, dry cotton balls (C) risk corneal damage, and blink reflex stimulation (D) is ineffective in unconscious patients.
Question 3 of 5
The nurse is to collect a sputum specimen from a client. The best time to collect this specimen is:
Correct Answer: C
Rationale: Sputum accumulates overnight, making early morning collection (C) ideal for a concentrated sample. Other times (A, B, D) yield less reliable specimens.
Question 4 of 5
A nurse is assessing a group of clients. The nurse knows that which of the following clients is at risk for fluid volume deficit? (DHA)
Correct Answer: D
Rationale: A colostomy bag (D) increases fluid loss via stool, risking deficit. Cirrhosis (A) and CHF (C) cause fluid retention, and kidney dysfunction (B) may reduce output but not necessarily deficit.
Question 5 of 5
What is the first choice of MI
Correct Answer: C
Rationale: Morphine (C) is the first-line treatment for myocardial infarction (MI) to relieve chest pain and reduce oxygen demand. Ecospirin (A) and heparin (D) prevent clotting, and streptokinase (B) dissolves clots, but pain relief is the priority.