ATI LPN
Patient Care Questions and Answers Questions
Question 1 of 5
The nurse is preparing to administer heparin to a client with a deep vein thrombosis. Which laboratory value should the nurse check before administering the dose?
Correct Answer: B
Rationale: Checking PTT is essential before heparin for DVT. Heparin prolongs PTT (therapeutic 1.5-2.5x normal), guiding dosing to prevent bleeding, per protocol. PT/INR (A, C) track warfarin, platelets monitor thrombocytopenia. B ensures safety, making it key.
Question 2 of 5
Which statement by a parent would alert the nurse to assess for iron deficiency anemia in a 14 month-old child?
Correct Answer: B
Rationale: My child doesn't like many fruits and vegetables, but she really loves her milk' alerts for iron deficiency anemia. Excessive milk intake (>24 oz/day) in a 14-month-old can displace iron-rich foods, reducing absorption, per pediatric nutrition guidelines. Constipation isn't specific, appetite drop is developmental, and fluid intake is unrelated. B prompts hemoglobin and dietary assessment.
Question 3 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 4 of 5
An ambulatory client reports edema during the day in his feet and ankles that disappears while sleeping at night. What is the most appropriate follow-up question for the nurse to ask?
Correct Answer: C
Rationale: How many pillows do you use at night to sleep comfortably?' is most appropriate. Edema resolving at night suggests cardiac or venous issues; pillow use indicates orthopnea, per cardiovascular assessment. Heart attack , dyspnea , and smoking are less specific initially. C pinpoints severity.
Question 5 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.