ATI LPN
COPD Patient Care Question Questions
Question 1 of 5
The mother of a 3 month-old infant tells the nurse that she wants to change from formula to whole milk and add cereal and meats to the diet. What should be emphasized as the nurse teaches about infant nutrition?
Correct Answer: B
Rationale: Whole milk is difficult to digest' should be emphasized. Infants under 12 months lack enzymes for cow's milk, risking issues. Solids , water , and juice are incorrect early. B protects health, making it key.
Question 2 of 5
The nurse is assessing a client who had abdominal surgery yesterday. Which finding should be of most concern to the nurse?
Correct Answer: D
Rationale: Temperature of 100.8 F is most concerning post-abdominal surgery. It suggests early infection, needing investigation, per post-op risks. Nausea , minor drainage , and pain are expected. D signals potential complication, making it priority.
Question 3 of 5
A client with a suspected myocardial infarction is receiving thrombolytic therapy. Which finding should the nurse report immediately to the health care provider?
Correct Answer: B
Rationale: BP drop to 90/60 mm Hg needs immediate reporting during thrombolytics. It suggests bleeding or shock, a life-threatening complication, per protocol. Persistent pain , PVCs , and SpO2 92% are less urgent. B prioritizes circulation, making it critical.
Question 4 of 5
A nurse entering the room of a postpartum mother observes the baby lying at the edge of the bed while the woman sits in a chair. The mother states 'This is not my baby, and I do not want it.' After repositioning the child safely, the nurse's best response is
Correct Answer: D
Rationale: You seem upset; tell me what the pregnancy and birth were like for you' is best. It uses therapeutic communication to explore the mother's feelings, addressing potential postpartum depression or psychosis, per psychiatric nursing principles. Options A and B dismiss her emotions, risking escalation, while C ignores her distress with false reassurance. D fosters trust, assesses her mental state, and guides further intervention.
Question 5 of 5
A client with bipolar disorder is reluctant to take lithium (Lithane) as prescribed. The most therapeutic response by the nurse to his refusal is
Correct Answer: C
Rationale: What is it about the medicine that you don't like?' is most therapeutic. It explores the client's reluctance, fostering trust and adherence, per psychiatric nursing principles. A dismisses concerns, B threatens, and D delays without addressing the issue. C promotes dialogue and collaboration.