ATI LPN
Patient Care Questions and Answers Questions
Question 1 of 5
The nurse is caring for a pre-adolescent client in skeletal Dunlop traction. Which nursing intervention is appropriate for this child?
Correct Answer: A
Rationale: Maintaining correct body alignment is appropriate for skeletal traction. It ensures fracture healing and prevents complications, per orthopedic nursing. Weights touching is incorrect, comfort adjustments are secondary, and releasing traction disrupts therapy. A prioritizes therapeutic efficacy.
Question 2 of 5
The nurse auscultates bibasilar inspiratory crackles in a newly admitted 68 year-old client with a diagnosis of congestive heart disease. Which other finding is most likely to occur?
Correct Answer: B
Rationale: Peripheral edema is most likely with bibasilar crackles in congestive heart failure. Fluid overload causes both, per cardiac nursing. Chest pain may occur, clubbing is chronic hypoxia, and lethargy is nonspecific. B aligns with CHF pathophysiology.
Question 3 of 5
To obtain data for the nursing assessment, the nurse should:
Correct Answer: D
Rationale: Eliciting clients' descriptions of experiences, thoughts, and behaviors is optimal. It gathers subjective data comprehensively, per assessment standards. Nonverbal is part, structure limits depth, and free talk lacks focus. D ensures thorough, client-centered data.
Question 4 of 5
The nurse is caring for several 70 to 80 year-old clients on bed rest. What is the most important measure to prevent skin breakdown?
Correct Answer: B
Rationale: Frequent turning is most important to prevent skin breakdown in elderly on bed rest. Repositioning relieves pressure, per gerontological nursing. Massage risks damage, lotions hydrate but don't prevent, and heat worsens redness. B is the primary intervention.
Question 5 of 5
A client with considerable pain asks, 'What is your opinion regarding acupuncture as a drug-free method for alleviating pain?' The nurse responds, 'I'd forget about it as those weird non-Western treatments can be scary.' The nurse's response is an example of
Correct Answer: C
Rationale: Ethnocentrism describes the nurse's response. Judging acupuncture as 'weird' and 'scary' reflects a bias toward Western norms, per cultural competence. Prejudice is broader, discrimination involves action, and insensitivity is less specific. C fits the attitude.