ATI LPN
Nursing Health Assessment Questions Questions
Question 1 of 5
The nurse is caring for a client with a fractured femur in skeletal traction. Which assessment finding indicates a complication?
Correct Answer: A
Rationale: Warmth and redness at the pin site (A) suggest infection, a traction complication. Pain relief (B), alignment (C), and no spasms (D) are expected outcomes.
Question 2 of 5
How will the nurse document the client's cognitive status when he or she experiences recent confusion with a rapid onset?
Correct Answer: A
Rationale: Delirium (A) is characterized by rapid-onset confusion. Amnesia (B) is memory loss. Dementia (C) is chronic and progressive. Intermittent confusion (D) is not a formal diagnosis.
Question 3 of 5
Which is the common IV additive that can only be added to IV solutions but not pushed directly intravenously?
Correct Answer: C
Rationale: Potassium chloride must be diluted in IV solutions and never pushed directly due to risk of cardiac arrhythmias. Metronidazole (A) Vitamin C (B) and sodium chloride (D) can be administered differently based on context.
Question 4 of 5
Acquired or passive immunity is when:
Correct Answer: A
Rationale: Passive immunity occurs when antibodies are received from another source (e.g.maternal antibodies immunoglobulin). B is active immunity C is herd immunity and D is unrelated to immunity.
Question 5 of 5
The nurse who is preparing to make an unoccupied bed should do what to ensure his or her personal safety?
Correct Answer: C
Rationale: Adjusting the bed to a comfortable working height (C) prevents back strain, a key ergonomic safety measure. Sterile gloves (A) aren’t needed, call light (B) is for the patient, and laundry bag placement (D) is unrelated to nurse safety.