ATI LPN
Health Assessment in Nursing Practice Questions Questions
Question 1 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 2 of 5
A client with a fluid volume deficit is receiving an I.V. infusion of dextrose 5% in water and lactated Ringer’s solution at 125 ml/hour. Which data collection finding indicates the need for additional I.V. fluids?
Correct Answer: D
Rationale: Dark amber urine (D) indicates concentrated urine from dehydration, suggesting more fluids are needed. Sodium 135 (A) is normal, 99.6°F (B) is mildly elevated, and neck vein distension (C) suggests fluid overload.
Question 3 of 5
Chronic alcoholic’s needs which of the following vitamins
Correct Answer: A
Rationale: Chronic alcoholics need thiamine (A) to prevent Wernicke’s encephalopathy due to poor absorption and diet. Other vitamins (B, C, D) are less critical acutely.
Question 4 of 5
A client with a myocardial infarction and cardiogenic shock is placed on an intra-aortic balloon pump (IABP). If the device is functioning properly, the balloon inflates when the:
Correct Answer: C
Rationale: The IABP inflates during diastole when the aortic valve is closed (C), aiding coronary perfusion and reducing afterload.
Question 5 of 5
A client who has been diagnosed with Prinzmetal’s angina will exhibit which change on an electrocardiogram while experiencing chest pain?
Correct Answer: C
Rationale: Prinzmetal’s angina, caused by coronary vasospasm, shows transient ST segment elevation (C) on ECG during pain, unlike typical angina (A). Q waves (B) indicate infarction, and T wave flattening (D) is nonspecific.