ATI LPN
Patient Care Questions and Answers Questions
Question 1 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 2 of 5
To prevent unnecessary hypoxia during suctioning of a tracheostomy, the nurse must
Correct Answer: A
Rationale: Applying suction for no more than 10 seconds prevents hypoxia during tracheostomy suctioning. Prolonged suction depletes oxygen, per airway management standards. Sterility , lubrication , and motion matter but hypoxia is the primary risk. A safeguards oxygenation.
Question 3 of 5
A child is admitted to the pediatric unit with a diagnosis of suspected meningococcal meningitis. Which admission orders should the nurse implement first?
Correct Answer: C
Rationale: Placing in respiratory/secretion precautions is first for suspected meningococcal meningitis. Droplet isolation prevents spread, per infection control, a public health priority. Seizures , monitoring , and antibiotics follow. C protects staff and patients.
Question 4 of 5
Which of these clients is the priority for the nurse to report to the public health department within the next 24 hours?
Correct Answer: B
Rationale: The elderly worker with a positive acid-fast bacillus smear is the priority to report. It suggests TB, a public health threat, per CDC mandates, requiring rapid notification. Shigella , Pneumocystis , and varicella are less urgent. B protects the community.
Question 5 of 5
The nurse reviews an order to administer Rh immune globulin to an Rh negative woman following the birth of an Rh positive baby. Which assessment is a priority before the nurse gives the injection?
Correct Answer: B
Rationale: A positive Coombs' test indicates Rh sensitization, contraindicating RhoGAM as it's ineffective post-sensitization.