ATI LPN
Patient Care Test Questions Questions
Question 1 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.
Question 2 of 5
The nurse is caring for a client admitted to the hospital with right lower lobe (RLL) pneumonia. On assessment, the nurse notes crackles over the RLL. The client has significant pleuritic pain and is unable to take in a deep breath in order to cough effectively. Which nursing diagnosis would be most appropriate for this client based on this assessment data?
Correct Answer: B
Rationale: Ineffective cough and sputum indicate airway clearance issues.
Question 3 of 5
A client was re-admitted to the hospital following a recent skull fracture. Which finding requires the nurse's immediate attention?
Correct Answer: A
Rationale: Lethargy may indicate rising intracranial pressure, a critical complication.
Question 4 of 5
A client asks the nurse about including her 2 and 12 year-old sons in the care of their newborn sister. Which of the following is an appropriate initial statement by the nurse?
Correct Answer: B
Rationale: Assigning age-appropriate tasks fosters involvement and responsibility.
Question 5 of 5
A mother brings her 26 month-old to the well-child clinic. She expresses frustration and anger due to her child's constantly saying 'no' and his refusal to follow her directions. The nurse explains this is normal for his age, as negativism is attempting to meet which developmental need?
Correct Answer: C
Rationale: Negativism at this age reflects autonomy development (Erikson's stage).