ATI LPN
Nursing Health Assessment Questions Questions
Question 1 of 5
The nurse is doing a physical assessment and electrocardiogram on an elderly client. Which finding during the nurse’s assessment of the cardiac system is of most concern and warrants prompt further investigation?
Correct Answer: D
Rationale: An irregularly irregular heart rate (D) suggests atrial fibrillation, a serious condition requiring urgent investigation in the elderly due to stroke risk. S4 (A) and PR increase (B) are common aging findings, and orthostatic hypotension (C) is less cardiac-specific.
Question 2 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 3 of 5
Which signs and symptoms are indicators of inadequate clotting? Select one that apply..
Correct Answer: A
Rationale: Purpura (A) indicate poor clotting. Itching (B) and poor skin turgor (E) are unrelated.
Question 4 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 5 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.