ATI LPN
Patient Care Test Questions Questions
Question 1 of 5
The nurse is assessing a newborn the day after birth. A high pitched cry, irritability and lack of interest in feeding are noted. The mother signed her own discharge against medical advice. What intervention is appropriate nursing care?
Correct Answer: A
Rationale: Reducing stimuli addresses irritability, possibly due to withdrawal or stress.
Question 2 of 5
The nurse is teaching a client about the healthy use of ego defense mechanisms. An appropriate goal for this client would be
Correct Answer: A
Rationale: Healthy ego defenses reduce fear and maintain self-esteem adaptively.
Question 3 of 5
When caring for a client with advanced cirrhosis of the liver, which nursing diagnosis should take priority?
Correct Answer: A
Rationale: Hemorrhage risk (e.g., from varices) is life-threatening in advanced cirrhosis.
Question 4 of 5
The nurse is caring for a client admitted to the hospital with right lower lobe (RLL) pneumonia. On assessment, the nurse notes crackles over the RLL. The client has significant pleuritic pain and is unable to take in a deep breath in order to cough effectively. Which nursing diagnosis would be most appropriate for this client based on this assessment data?
Correct Answer: B
Rationale: Ineffective cough and sputum indicate airway clearance issues.
Question 5 of 5
A client was re-admitted to the hospital following a recent skull fracture. Which finding requires the nurse's immediate attention?
Correct Answer: A
Rationale: Lethargy may indicate rising intracranial pressure, a critical complication.