ATI LPN
Patient Care Exam Questions Questions
Question 1 of 5
The nurse is caring for a client with cirrhosis of the liver with ascites. When instructing nursing assistants in the care of the client, the nurse should emphasize that the client
Correct Answer: C
Rationale: Ambulation and sitting promote comfort and circulation, balanced with ascites management.
Question 2 of 5
The nursing care plan for a client with decreased adrenal function should include
Correct Answer: D
Rationale: Adrenal insufficiency (e.g., Addison's) requires constipation prevention due to fluid shifts.
Question 3 of 5
A 15 year-old client with a lengthy confining illness is most at risk for altered psycho-emotional growth and development due to
Correct Answer: A
Rationale: Loss of control from prolonged illness disrupts adolescent autonomy development.
Question 4 of 5
A patient requires assistance with eating. What principle should the nurse follow when feeding the patient?
Correct Answer: D
Rationale: Maintaining a calm and unhurried pace when feeding a patient ensures safety, dignity, and comfort, allowing them to chew and swallow properly without risk of choking or aspiration. Rushing increases stress and danger, especially for those with swallowing difficulties. A large spoon might overwhelm the patient, leading to spills or aspiration, so appropriate utensil size matters. Letting the patient choose the meal entirely is impractical in a hospital setting with dietary restrictions, though offering preferences within limits is ideal. A relaxed approach fosters trust, respects the patient's pace, and aligns with nursing's holistic care principles, preventing complications while preserving the patient's autonomy as much as possible.
Question 5 of 5
How often should a nurse reposition an immobile patient to prevent pressure ulcers?
Correct Answer: B
Rationale: Repositioning an immobile patient every 2-4 hours prevents pressure ulcers by relieving sustained pressure on bony prominences, allowing blood flow to replenish oxygen and nutrients to tissues. Once a day is insufficient ulcers can form within hours under constant pressure. Weekly repositioning neglects basic care standards, risking severe skin breakdown. Waiting for patient requests is unreliable, as many can't sense discomfort or communicate needs. Evidence-based practice supports this frequency, adjusted to individual risk factors like skin condition or mattress type, making it a cornerstone of preventive nursing care for immobile patients.