ATI LPN
Patient Care Exam Questions Questions
Question 1 of 5
The nurse is caring for a client with a pressure ulcer on the heel that is covered with black hard tissue. Which would be an appropriate goal in planning care for this client?
Correct Answer: C
Rationale: Debriding eschar is the appropriate goal for a heel ulcer with black tissue. Eschar removal promotes healing, per wound care standards. Granulation isn't present, infection may follow debridement, and keeping eschar delays recovery. C addresses the primary barrier.
Question 2 of 5
The nurse is assigned to care for a client newly diagnosed with angina. As part of discharge teaching, it is important to remind the client to remove the nitroglycerine patch after 12 hours in order to prevent what condition?
Correct Answer: B
Rationale: Removing the nitroglycerine patch after 12 hours prevents drug tolerance . A nitrate-free interval maintains efficacy, per cardiac pharmacology. Irritation , headaches , and hypotension occur but tolerance affects treatment. B ensures therapeutic benefit.
Question 3 of 5
The nurse is planning care for a 2 year-old hospitalized child. Which of the following will produces the most stress at this age?
Correct Answer: A
Rationale: Separation anxiety produces the most stress in a 2-year-old. Per Erikson's autonomy stage, separation from caregivers is primary, per pediatric psychology. Pain , control , and injury matter but separation is dominant. A guides care focus.
Question 4 of 5
The provider order reads 'Aspirate nasogastric (NG) feeding tube every 4 hours and check pH of aspirate.' The pH of the aspirate is 10. Which action should the nurse take?
Correct Answer: A
Rationale: Holding the feeding and notifying the provider is correct for a pH of 10. Gastric pH is typically 1-5; 10 suggests misplacement (e.g., lung), per enteral feeding standards. Feeding , irrigating , or suction risk harm. A ensures safety.
Question 5 of 5
A nurse who is assigned to the emergency department needs to understand that gastric lavage is a priority in which situation?
Correct Answer: B
Rationale: Gastric lavage is a priority for a toddler who ate ibuprofen tablets . NSAID overdose risks GI bleeding, per toxicology, warranting decontamination. Botulism isn't ingested acutely, plant food varies, vitamins are less urgent. B addresses toxicity.