ATI LPN
Health Assessment in Nursing Practice Questions Questions
Question 1 of 5
The hepatic and splenic flexures are located proximally and distally in which part of the large intestine?
Correct Answer: D
Rationale: Hepatic (right) and splenic (left) flexures are in the transverse colon.
Question 2 of 5
A patient admitted to the hospital in hypertensive crisis is ordered to receive hydralazine (Apresoline) 20 mg IV stat for blood pressure greater than 190/100 mmHg. The best response of the nurse to this order is to:
Correct Answer: B
Rationale: The order specifies hydralazine ‘stat’ for BP >190/100 mmHg, meaning the nurse should administer it only if the BP exceeds this threshold (B). Immediate administration (A) ignores the condition, calling the physician (C) is unnecessary as the order is clear, and repeating (D) requires further orders.
Question 3 of 5
On her 3rd postpartum day, a client complains of chills and aches. Her chart shows that she has had a temperature of 100.6°F (38.1°C) for the past 2 days. The nurse assesses foul-smelling, yellow lochia. What do these findings suggest?
Correct Answer: C
Rationale: Fever, chills, aches, and foul-smelling lochia suggest a localized postpartum infection (C), likely endometritis. Lochia alba (A) and serosa (B) are normal, and cervical laceration (D) wouldn’t cause systemic symptoms.
Question 4 of 5
The nurse is caring for a client diagnosed with a stroke. Because of the stroke, the client has dysphagia (difficulty swallowing). Which intervention by the nurse is best for preventing aspiration?
Correct Answer: A
Rationale: High Fowler’s position (A) uses gravity to aid swallowing and prevent aspiration in dysphagia. Mixing liquids and solids (B), thinning liquids (C), or using the affected side (D) increases aspiration risk.
Question 5 of 5
Which is the primary consideration when preparing to administer thrombolytic therapy to a patient who is experiencing an acute myocardial infarction (MI)? (HAAD 2014)
Correct Answer: D
Rationale: Time since symptom onset (D) is critical for thrombolytic therapy, effective within 12 hours of MI onset. History (A), aspirin sensitivity (B), and MI specifics (C) are secondary.