ATI LPN
COPD Patient Care Question Questions
Question 1 of 5
The nurse is assessing a client who has a long history of smoking and is suspected of having laryngeal cancer. Which symptom would the nurse expect to find during the assessment?
Correct Answer: B
Rationale: Hoarseness is expected in laryngeal cancer. Smoking irritates vocal cords, causing chronic hoarseness, a hallmark symptom per oncology. Dysphagia or ear pain occur later, nasal stuffiness is unrelated. B aligns with early presentation, making it the key finding.
Question 2 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 3 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 4 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.
Question 5 of 5
A client is admitted with low T3 and T4 levels and an elevated thyroid stimulating hormone (TSH) level. On initial assessment, the nurse would anticipate which of the following findings?
Correct Answer: A
Rationale: Lethargy is anticipated with low T3/T4 and high TSH, indicating hypothyroidism, per endocrine nursing. Fatigue results from slowed metabolism. Heat intolerance , diarrhea , and skin eruptions align with hyperthyroidism. A matches the hormonal profile.