ATI LPN
Patient Care Questions Questions
Question 1 of 5
The nurse is assessing a client with a chest tube attached to a water seal drainage system. Which finding requires immediate action by the nurse?
Correct Answer: D
Rationale: Absence of fluctuation in the water seal chamber requires immediate action. It suggests obstruction, disconnection, or lung re-expansion issues, risking tension pneumothorax, per protocol. Normal fluctuation , blood , and suction bubbling are expected. D threatens airway, making it priority.
Question 2 of 5
The nurse instructs the client taking dexamethasone (Decadron) to take it with food or milk. The physiological basis for this instruction is that the medication
Correct Answer: B
Rationale: Dexamethasone stimulates hydrochloric acid production , increasing gastric irritation risk, per pharmacology. Taking it with food or milk buffers this effect, protecting the stomach lining. Pepsin isn't primarily affected, emptying time isn't slowed, and acid production isn't decreased . B explains the physiological need for this instruction.
Question 3 of 5
A client has been admitted with complaints of lower abdominal pain, difficulty swallowing, nausea, dizziness, headaches and fatigue. The client is agitated, fearful, tachycardia and complains of being 'too sick to return to work.' The client is diagnosed as having somatoform disorder. In formulating a plan of care, the nurse must consider that the client's behavior
Correct Answer: A
Rationale: Behavior controlled by the subconscious mind fits somatoform disorder. Symptoms are involuntary, physical manifestations of psychological stress, per psychiatric standards. Manipulation implies intent, psychoeducation aids but doesn't control, and reality therapy may help but isn't primary. A guides care toward addressing underlying stress.
Question 4 of 5
The nurse is teaching a client with metastatic bone disease about measures to prevent hypercalcemia. It would be important for the nurse to emphasize
Correct Answer: C
Rationale: Emphasizing walking as much as possible prevents hypercalcemia in metastatic bone disease. Mobility reduces bone resorption, per oncology nursing. Dairy increases calcium, fluid restriction risks dehydration, and tetany is hypocalcemia. C targets the cause effectively.
Question 5 of 5
The nurse is assessing the mental status of a client admitted with possible organic brain disorder. Which of these questions will best assess the functioning of the client's recent memory?
Correct Answer: C
Rationale: I am going to say the names of three things and I want you to repeat them after me: blue, ball, pen' best assesses recent memory. Immediate recall tests short-term memory function, per neurological assessment. A tests orientation, B attention, and D general knowledge. C targets the deficit.