ATI LPN
Patient Care Test Questions Questions
Question 1 of 5
The nurse is providing foot care instructions to a client with arterial insufficiency. The nurse would identify the need for additional teaching if the client stated
Correct Answer: C
Rationale: Trimming corns/calluses risks injury in arterial insufficiency; professional care is needed.
Question 2 of 5
A 6 month-old infant who is being treated for developmental dysplasia of the hip has been placed in a hip spica cast. The nurse should teach the parents to
Correct Answer: C
Rationale: Monitoring for swelling ensures circulation isn't compromised by the cast.
Question 3 of 5
The nurse is assessing a newborn the day after birth. A high pitched cry, irritability and lack of interest in feeding are noted. The mother signed her own discharge against medical advice. What intervention is appropriate nursing care?
Correct Answer: A
Rationale: Reducing stimuli addresses irritability, possibly due to withdrawal or stress.
Question 4 of 5
A 4 month-old child taking digoxin (Lanoxin) has a blood pressure of 92/78; resting pulse of 78 BPM; respirations 28 and a potassium level of 4.8 mEq/L. The client is irritable and has vomited twice since the morning dose of digoxin. Which finding is most indicative of digoxin toxicity?
Correct Answer: A
Rationale: Bradycardia (pulse 78 BPM, low for an infant) is a classic sign of digoxin toxicity.
Question 5 of 5
The nurse is teaching a client about the healthy use of ego defense mechanisms. An appropriate goal for this client would be
Correct Answer: A
Rationale: Healthy ego defenses reduce fear and maintain self-esteem adaptively.