ATI LPN
Patient Care Questions Questions
Question 1 of 5
The nurse is monitoring a client receiving a thrombolytic agent, alteplase (Activase tissue plasminogen activator), for treatment of a myocardial infarction. What outcome indicates the client is receiving adequate therapy within the first hours of treatment?
Correct Answer: D
Rationale: ST-segment normalization indicates reperfusion, the goal of thrombolytic therapy.
Question 2 of 5
A 15 month-old child comes to the clinic for a follow-up visit after hospitalization for treatment of Kawasaki Disease. The nurse recognizes that which of the following scheduled immunizations will be delayed?
Correct Answer: A
Rationale: MMR (live vaccine) is delayed post-Kawasaki due to recent IVIG, which may reduce vaccine efficacy.
Question 3 of 5
A client's admission urinalysis shows the specific gravity value of 1.039. Which of the following assessment data would the nurse expect to find when assessing this client?
Correct Answer: C
Rationale: High specific gravity (normal 1.010-1.030) suggests dehydration, leading to poor skin turgor.
Question 4 of 5
A nursing student asks the nurse manager to explain the forces that drive health care reform. The appropriate response by the nurse manager should include
Correct Answer: C
Rationale: Aging population and chronic illness prevalence drive reform due to increased demand and costs.
Question 5 of 5
In assessing a post partum client, the nurse palpates a firm fundus and observes a constant trickle of bright red blood from the vagina. What is the most likely cause of these findings?
Correct Answer: B
Rationale: Bright red trickle with a firm fundus suggests lacerations, not atony (soft fundus).